Organization
DENTAL ASSOCIATES OF NEPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ELIZABETH SNYDER (ACCOUNTS PAYABLE)
(570) 822-4065
Entity
Organization
Contact information
Practice address
360 KIDDER STREET, SUITE 5, WILKES BARRE, PA 18702
(570) 822-4065
(570) 820-9836
Mailing address
360 KIDDER ST STE 5, WILKES BARRE, PA 18702-5619
(570) 822-4065
(570) 820-9836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028210L
PA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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