# DR MARY GRACE RIZZO-FRYZEL DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 119 Main St
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548078843
- **Authorized official:** DR. MARY GRACE RIZZO-FRYZEL DMD (OWNER)
- **Authorized official phone:** (570) 878-9959

## Contact information

- **Practice address:** 119 S MAIN ST, ARCHBALD, PA 18403-1725
- **Practice address phone:** (570) 878-9959
- **Mailing address:** 300 LACKAWANNA AVE UNIT 107, SCRANTON, PA 18503-2001
- **Mailing address phone:** (570) 878-9959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/31/2024