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Organization

SPROUT PEDIATRIC DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE ROSALIE SCHLOESSER DMD (OWNER)
(570) 253-0358
Entity
Organization

Contact information

Practice address
1073 OAK ST STE D, PITTSTON, PA 18640-3716
(570) 253-0358
(570) 352-3395
Mailing address
554 HAMLIN HWY, LAKE ARIEL, PA 18436-9319
(570) 253-0358
(570) 352-3395

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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