Organization
CDA NORTH POCONO LLC
Active
Other names
Century Dental North Pocono
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE WILKES (CONTRACT/CREDENTIALING MANAGER)
(570) 876-4488
Entity
Organization
Contact information
Practice address
747 BLUE SHUTTERS RD, ROARING BROOK TWP, PA 18444-7626
(570) 842-4211
(570) 842-4211
Mailing address
747 BLUE SHUTTERS RD, ROARING BROOK TWP, PA 18444-7626
(570) 842-4211
(570) 842-4211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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