Organization
COOPERSBURG DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GALVIN (BILLING MANAGER)
(570) 655-7645
Entity
Organization
Contact information
Practice address
20 S MAIN ST, COOPERSBURG, PA 18036-1911
(610) 282-1700
Mailing address
457 N MAIN ST STE 100, PITTSTON, PA 18640-2185
(570) 655-7645
(570) 299-7427
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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