Organization
BRADFORD COUNTY DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN A COYLE RDH (OFFICE MANAGER)
(570) 265-2069
Entity
Organization
Contact information
Practice address
1 ELIZABETH ST, SUITE # 6, TOWANDA, PA 18848-1629
(570) 265-2069
(570) 265-8941
Mailing address
1 ELIZABETH ST, SUITE # 6, TOWANDA, PA 18848-1629
(570) 265-2069
(570) 265-8941
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
PA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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