Organization
ENDLESS SMILES DENTAL GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK C. LALLY D.D.S. (OWNER)
(570) 836-6362
Entity
Organization
Contact information
Practice address
164 W TIOGA ST, TUNKHANNOCK, PA 18657-1466
(570) 836-6362
Mailing address
164 W TIOGA ST, TUNKHANNOCK, PA 18657-1466
(570) 836-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
PA
Other
Enumeration date
10/20/2006
Last updated
03/13/2014
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