Electric City Dental Group

NPI 1093048217 - Dentist - 1223G0001X

NPI Details
NPI 1093048217
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RICHARD A RICHARD
Position PRESIDENT
Phone (570) 785-3000
Fax (570) 785-3175
Practice Location
117 MAIN ST
FOREST CITY PA, 18421-1440, US
Phone (570) 785-3000
Fax (570) 785-3175
Business Location
305 SCHOOL SIDE DR
THROOP PA, 18512-1456, US
Phone (570) 383-0784
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS035200
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According to our database, Electric City Dental Group NPI is 1093048217, taxonomy code is 1223G0001X and license number is DS035200, license state is located at Pennsylvania. Electric City Dental Group physically located at 117 Main St, Forest City PA, 18421-1440. NPI Number 1033115704 has the healthcare provider type.

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1093048217 NPI number is provided on an as is basis without warranty of any kind. 1093048217 is maintained by the National Plan & Provider Enumeration System. The contents of Electric City Dental Group are for informational purposes only.