Individual
DR. EDWARD SCHETROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
414 W PINE ST, SHAMOKIN, PA 17872-5746
(570) 644-7890
Mailing address
414 W PINE ST, SHAMOKIN, PA 17872-5746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024085L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS024085L
COMMONWEALTH OF PA
—
Enumeration date
09/18/2017
Last updated
09/18/2017
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