Individual
ROBERT E ASTLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
75 PINEAPPLE STREET, BLACK CREEK HEALTH CENTER, NUREMBERG, PA 18241-0670
(570) 384-3238
(570) 384-3454
Mailing address
1084 ROUTE 315, WILKES-BARRE, PA 18702-7012
(570) 825-8741
(570) 825-8990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021202L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005392810001
—
PA
Enumeration date
10/13/2006
Last updated
07/08/2007
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