| NPI | 1932354677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROHRBACH Vice President Fiscal Affairs 570-268-2207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA 650201) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |