# ARIEL DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scrimalli Ratchford LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669502159
- **Authorized official:** MR. BIJAN REZA AHMADZADEH D.M.D (OWNER)
- **Authorized official phone:** (570) 689-2449

## Contact information

- **Practice address:** 358 HAMLIN HWY, STE 2, LAKE ARIEL, PA 18436
- **Practice address phone:** (570) 689-2449
- **Practice address fax:** (866) 658-1522
- **Mailing address:** 358 HAMLIN HWY, STE 2, LAKE ARIEL, PA 18436
- **Mailing address phone:** (570) 689-2449
- **Mailing address fax:** (866) 658-1522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 02/09/2024