Tri-Town Modern Dental
NPI #1649015959 in Muncy, Pennsylvania
Provider Information
- NPI Number
- 1649015959
- Entity Type
- Organization
- Organization Name
- Tri-Town Modern Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 27, 2024
- Last Updated
- Jun 27, 2024
Practice Location
- Address
- 42 S MAIN ST
- City
- Muncy
- State
- Pennsylvania
- ZIP Code
- 17756-1307
- Phone
- (570) 546-3419
Authorized Official
- Name
- RYAN MICHAEL KOCH, DMD
- Title
- DENTIST
- Phone
- (570) 651-3559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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