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Individual

DR. RYAN CARL DELL'AGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
959 WYOMING AVE, SCRANTON PRIMARY HEALTH CENTER, SCRANTON, PA 18509-3023
(570) 504-0882
(570) 504-0859
Mailing address
959 WYOMING AVE, SCRANTON PRIMARY HEALTH CARE CENTER, INC., SCRANTON, PA 18509-3023
(570) 504-0882
(570) 504-0859

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2013018051
MO
122300000X
Dentist
Primary
DS039531
PA

Other

Enumeration date
05/02/2013
Last updated
08/04/2016
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