Jcr Century Dental Dal LLC
NPI #1598571853 in Dallas, Pennsylvania
Provider Information
- NPI Number
- 1598571853
- Entity Type
- Organization
- Organization Name
- Jcr Century Dental Dal LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 10, 2024
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 15 LINCOLN ST
- City
- Dallas
- State
- Pennsylvania
- ZIP Code
- 18612-1213
- Phone
- (570) 675-3646
Authorized Official
- Name
- JASON HANYON, DMD
- Title
- OWNER
- Phone
- (570) 876-4488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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