Organization
DENTAL SPECIALISTS OF NEPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MANCIA (DDS)
(570) 331-0824
Entity
Organization
Contact information
Practice address
500 3RD AVE, KINGSTON, PA 18704-5810
(570) 331-0824
(570) 331-0827
Mailing address
500 3RD AVE, KINGSTON, PA 18704-5810
(570) 331-0824
(570) 331-0827
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS017029L
PA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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