# VALLEY ORAL & MAXILLOFACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** stavisky & giallorenzi pc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811026065
- **Authorized official:** ALBERT FRANCIS GIALLORENZI DMD (SR PARTNER)
- **Authorized official phone:** (570) 346-7301

## Contact information

- **Practice address:** 401 ADAMS AVE, SUITE 100, SCRANTON, PA 18510-2025
- **Practice address phone:** (570) 346-7301
- **Practice address fax:** (570) 346-7575
- **Mailing address:** 401 ADAMS AVE, SUITE 100, SCRANTON, PA 18510-2025
- **Mailing address phone:** (570) 346-7301
- **Mailing address fax:** (570) 346-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DS017472L | PA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 03/13/2008
