Sprout Pediatric Dental
NPI #1528319993 in Lake Ariel, Pennsylvania
Provider Information
- NPI Number
- 1528319993
- Entity Type
- Organization
- Organization Name
- Sprout Pediatric Dental
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Mar 19, 2022
Practice Location
- Address
- 554 HAMLIN HIGHWAY
- City
- Lake Ariel
- State
- Pennsylvania
- ZIP Code
- 18436-9319
- Phone
- (570) 253-0358
Authorized Official
- Name
- KATHERINE ROSALIE SCHLOESSER, DMD
- Title
- OWNER
- Phone
- (570) 253-0358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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|---|---|
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