| NPI | 1902985799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P MCGURRIN President 570-586-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023097L) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |