Organization
BRADFORD COUNTY DENTAL HEALTH SERV INC
Active
Other names
Not For Profit
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN A COYLE ROH (DENTAL HYGIENIST CLINICAL MANAGER)
(570) 265-2069
Entity
Organization
Contact information
Practice address
1 PROGRESS PLAZA, SUITE #6, TOWANDA, PA 18848-1656
(570) 265-2069
(570) 265-8718
Mailing address
1 PROGRESS PLAZA, SUITE #6, TOWANDA, PA 18848-1656
(570) 265-2069
(570) 265-8718
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016485020002
—
PA
Enumeration date
09/19/2006
Last updated
08/22/2020
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