Individual
THOMAS JOHN CIUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
44 E. CHURCH STREET, LOCK HAVEN, PA 17745
(570) 748-6391
(570) 748-9003
Mailing address
P.O. BOX 743, 44 E. CHURCH STREET, LOCK HAVEN, PA 17745
(870) 748-6391
(570) 748-9003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-023508-L
PA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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