Organization
JC CENTURY DENTAL SCRANTON LLC
Active
Other names
JC Century Dental Scranton LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HADDIX (OFFICE MANAGER)
(570) 876-4488
Entity
Organization
Contact information
Practice address
205 N MAIN AVE, SCRANTON, PA 18504-3303
(570) 876-4488
(570) 507-9509
Mailing address
205 N MAIN AVE, SCRANTON, PA 18504-3303
(570) 876-4488
(570) 507-9509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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