Individual
DR. TONY V. PASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
00006-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS036918
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02901260
—
NY
05
—
1020265550001
—
PA
Enumeration date
03/15/2007
Last updated
09/15/2011
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