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Organization
SPROUT PEDIATRIC DENTAL
Active
Organization
SPROUT PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ROSALIE SCHLOESSER (DMD)
(570) 253-0358
Entity
Organization
Contact information
Practice address
387 N 9TH AVE, SCRANTON, PA 18504-2005
(570) 253-0358
Mailing address
554 HAMLIN HWY, LAKE ARIEL, PA 18436-9319
(267) 324-7933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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