| NPI | 1942542246 |
|---|---|
| Doing Business As | AFFILIATED PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROSS M WEZMAR President 570-822-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA DS017699L) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |