Organization
CENTURY DENTAL STR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELLE WILKES (CREDENTIALING MANAGE)
(570) 876-4488
Entity
Organization
Contact information
Practice address
17 S 6TH ST, STROUDSBURG, PA 18360-2001
(570) 420-9332
Mailing address
17 S 6TH ST, STROUDSBURG, PA 18360-2001
(570) 420-9332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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