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Organization

APPLE DENTAL CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMED IQBAL BHUIYAN DDS (MANAGING CLINCIAL DIRECTOR/DENTIST)
(570) 839-6969
Entity
Organization

Contact information

Practice address
100 COMMUNITY DR, SUITE 201, TOBYHANNA, PA 18466-8985
(570) 839-6969
(570) 839-8788
Mailing address
100 COMMUNITY DR, SUITE 201, TOBYHANNA, PA 18466-8985
(570) 839-6969
(570) 839-8788

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036415
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102269606-0001
PA
Enumeration date
04/07/2009
Last updated
04/07/2009
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