Organization
ANGELA C. RESAVAGE DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA RESAVAGE D.M.D. (PRESIDENT)
(570) 288-8170
Entity
Organization
Contact information
Practice address
1590 WYOMING AVE, FORTY FORT, PA 18704-4226
(570) 288-8170
Mailing address
1590 WYOMING AVE, FORTY FORT, PA 18704-4226
(570) 288-8170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029632L
PA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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