42 North Dental Care LLC

NPI #1659023422 in Hollidaysburg, Pennsylvania

Provider Information

NPI Number
1659023422
Entity Type
Organization
Organization Name
42 North Dental Care LLC
Subpart
Yes (part of a larger organization)
Parent Organization
42 NORTH DENTAL CARE LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 24, 2022
Last Updated
Jan 24, 2022

Practice Location

Address
712 S LOGAN BLVD
ZIP Code
16648-3032
Phone
(814) 946-1950

Authorized Official

Name
MICHAEL ANGELO SCIALABBA
Title
CHIEF CLINICAL OFFICER
Phone
(561) 512-2709

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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