Broad Mountain Family Dentistry, P.c.

NPI 1366416828 - Dentist - 1223G0001X

NPI Details
NPI 1366416828
Enumeration Date 02/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name FRANK JOSEPH FRANK
Position CORPORATE PRESIDENT/DENTIST
Phone (570) 874-3981
Fax (570) 874-3981
Practice Location
309 W PINE ST
FRACKVILLE PA, 17931-1211, US
Phone (570) 874-3981
Fax (570) 874-3981
Business Location
309 W PINE ST
FRACKVILLE PA, 17931-1211, US
Phone (570) 874-3981
Fax (570) 874-3981
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS-029348-L
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According to our database, Broad Mountain Family Dentistry, P.c. NPI is 1366416828, taxonomy code is 1223G0001X and license number is DS-029348-L, license state is located at Pennsylvania. Broad Mountain Family Dentistry, P.c. physically located at 309 W Pine St, Frackville PA, 17931-1211. NPI Number 1033115704 has the healthcare provider type.

1366416828 NPI number is provided on an as is basis without warranty of any kind. 1366416828 is maintained by the National Plan & Provider Enumeration System. The contents of Broad Mountain Family Dentistry, P.c. are for informational purposes only.