Moosic Dental Group INC
NPI #1316044431 in Moosic, Pennsylvania
Provider Information
- NPI Number
- 1316044431
- Entity Type
- Organization
- Organization Name
- Moosic Dental Group INC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jun 25, 2013
Practice Location
- Address
- 502 CHURCH STREET
- City
- Moosic
- State
- Pennsylvania
- ZIP Code
- 18507
- Phone
- (570) 344-3500
Authorized Official
- Name
- NOLEN SCOTT ELY
- Title
- OWNER
- Phone
- (570) 344-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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