Organization
S4K WILKES-BARRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E SKOLNICK DMD (PRESIDENT)
(973) 715-5963
Entity
Organization
Contact information
Practice address
900 SCHECHTER DR, WILKES BARRE, PA 18702-6781
(570) 822-4181
Mailing address
900 SCHECHTER DR, WILKES BARRE, PA 18702-6781
(570) 822-4181
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027491910003
—
PA
Enumeration date
10/12/2021
Last updated
10/12/2021
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