Gaunt Family Dentistry Pc

NPI 1093108102 - Clinic/Center - 261QD0000X

NPI Details
NPI 1093108102
Enumeration Date 03/13/2015
Last Updated 03/13/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAY R JAY
Position DENTIST
Phone (570) 753-5403
Fax (570) 753-5485
Practice Location
107 E CENTRAL AVE
AVIS PA, 17721-8904, US
Phone (570) 753-5403
Fax (570) 753-5485
Business Location
107 E CENTRAL AVE
PO BOX 710
AVIS PA, 17721-8904, US
Phone (570) 753-5403
Fax (570) 753-5485
Toxanomy
Taxonomy Code 261QD0000X
License State Pennsylvania
License Number DS-022420-L
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According to our database, Gaunt Family Dentistry Pc NPI is 1093108102, taxonomy code is 261QD0000X and license number is DS-022420-L, license state is located at Pennsylvania. Gaunt Family Dentistry Pc physically located at 107 E Central Ave, Avis PA, 17721-8904. NPI Number 1033115704 has the healthcare provider type.

1093108102 NPI number is provided on an as is basis without warranty of any kind. 1093108102 is maintained by the National Plan & Provider Enumeration System. The contents of Gaunt Family Dentistry Pc are for informational purposes only.