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Organization
NORTHERN COUNTRY DENTAL
Active
Organization
NORTHERN COUNTRY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JUDGE (PRESIDENT)
(570) 836-7050
Entity
Organization
Contact information
Practice address
30 E TIOGA ST, TUNKHANNOCK, PA 18657-1506
(570) 836-7050
(570) 836-7930
Mailing address
30 E TIOGA ST, TUNKHANNOCK, PA 18657-1506
(570) 836-7050
(570) 836-7930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029789L
PA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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