Organization
APPLE DENTAL ASSOCIATE
Active
Other names
Lycoming Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGA T GUNTUPALLI DMD (OWNER/DENTIST)
(570) 546-8888
Entity
Organization
Contact information
Practice address
929 LYCOMING MALL DRIVE, PENNSDALE, PA 17756
(570) 546-8888
(570) 546-7053
Mailing address
929 LYCOMING MALL DR., PENNSDALE, PA 17756
(570) 546-8888
(570) 546-7053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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