Organization
CENTURY DENTAL GR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY CHMIL DMD (TREATING PROVIDER/OWNER)
(570) 876-4488
Entity
Organization
Contact information
Practice address
1821 SANDERSON AVE, SCRANTON, PA 18509-1854
(570) 346-2244
Mailing address
696 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1004
(570) 876-4488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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