| NPI | 1902005374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN MAGANN Doctor 570-421-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026433L) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-06-30 |