42 North Dental Care LLC
NPI #1174275945 in Montoursville, Pennsylvania
Provider Information
- NPI Number
- 1174275945
- Entity Type
- Organization
- Organization Name
- 42 North Dental Care LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 42 NORTH DENTAL CARE LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 24, 2022
- Last Updated
- Jan 24, 2022
Practice Location
- Address
- 1660 SYCAMORE RD
- City
- Montoursville
- State
- Pennsylvania
- ZIP Code
- 17754-9314
- Phone
- (570) 323-4819
Authorized Official
- Name
- MICHAEL ANGELO SCIALABBA
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (561) 512-2709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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