Organization
QUIET VALLEY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C PUGLIESE DMD (DENTIST)
(732) 887-2141
Entity
Organization
Contact information
Practice address
104 THERESA LANE, SCIOTA, PA 18354
(570) 992-7040
Mailing address
104 THERESA LANE, SCIOTA, PA 18354
(570) 992-7040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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