Organization
ELECTRIC CITY DENTAL GROUP
Active
Other names
Forest City Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A HARTLAND II DMD (PRESIDENT)
(570) 383-0784
Entity
Organization
Contact information
Practice address
117 MAIN ST, FOREST CITY, PA 18421-1440
(570) 785-3000
(570) 785-3175
Mailing address
305 SCHOOL SIDE DR, THROOP, PA 18512-1456
(570) 383-0784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035200
PA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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