Organization
BACK MOUNTAIN PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MARIE PIZANO DMD, MS (OWNER PEDIATRIC DENTIST)
(570) 885-9531
Entity
Organization
Contact information
Practice address
3784 YALICK PLZ UNIT 1, DALLAS, PA 18612-7719
(570) 456-5566
Mailing address
126 SENECA DR, OLD FORGE, PA 18518-1598
(570) 885-9531
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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