Dental Specialists of Northeast PA Root Canal & Implant Dentistry PC

NPI #1528364932 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1528364932
Entity Type: Organization
Organization Name: Dental Specialists of Northeast PA Root Canal & Implant Dentistry PC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 905 W 15TH ST
City: Hazleton
State: Pennsylvania
ZIP Code: 18201-2707
Phone: (570) 459-2100

Authorized Official

Name: DR. PAUL R. MANCIA, D.S.S.
Title: OWNER
Phone: (570) 459-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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