Organization
CHILDRENS GENERAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LOUIS VERMILLION D.D.S. (PRESIDENT)
(570) 645-2044
Entity
Organization
Contact information
Practice address
39 W LUDLOW ST, SUITE 1, SUMMIT HILL, PA 18250-1141
(570) 645-2044
Mailing address
39 W LUDLOW ST, SUITE 1, SUMMIT HILL, PA 18250-1141
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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