| NPI | 1891814216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. ANTHONY QUINN President 570-342-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS 017282) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |