Organization
SELINSGROVE DENTAL & DENTURES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS CLOSINSKI (VICE PRESIDENT/ MEMBER)
(518) 376-6328
Entity
Organization
Contact information
Practice address
2192 NORTH SUSQUEHANNA TRAIL, SUITE 200, SELINSGROVE, PA 17831
(570) 743-8000
Mailing address
111 HOMEPORT DR, PALM HARBOR, FL 34683-5410
(716) 954-0141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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