Organization
NORTH PENN COMPREHENSIVE HEALTH SERVICES
Active
Other names
Laurel Dental - Towanda
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MERYL GILBERT (CFO)
(570) 662-1945
Entity
Organization
Contact information
Practice address
346 YORK AVE, TOWANDA, PA 18848-2021
(570) 662-1945
(570) 662-2390
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/14/2022
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