Affiliated Pediatric Dentistry

NPI 1134477425 - Point of Service - 305S00000X

NPI Details
NPI 1134477425
Enumeration Date 08/17/2012
Last Updated 01/18/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROSS M ROSS
Position OWNER
Phone (570) 346-7760
Fax (570) 346-9002
Practice Location
313 MULBERRY ST
SCRANTON PA, 18503-1221, US
Phone (570) 346-7760
Fax (570) 346-9002
Business Location
313 MULBERRY ST
SCRANTON PA, 18503-1221, US
Phone (570) 346-7760
Fax (570) 346-9002
Toxanomy
Taxonomy Code 305S00000X
License State Pennsylvania
License Number 17699
Remove 1134477425 NPI Number
 

According to our database, Affiliated Pediatric Dentistry NPI is 1134477425, taxonomy code is 305S00000X and license number is 17699, license state is located at Pennsylvania. Affiliated Pediatric Dentistry physically located at 313 Mulberry St, Scranton PA, 18503-1221. NPI Number 1033115704 has the healthcare provider type.

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1134477425 NPI number is provided on an as is basis without warranty of any kind. 1134477425 is maintained by the National Plan & Provider Enumeration System. The contents of Affiliated Pediatric Dentistry are for informational purposes only.