NPI 1003044264

Vincent I. Disalvo, INC.

Organisation Oral and Maxillofacial Surgery (Dentist) Williamsport, PA

Practice location

Address: 121 E 4th St, Williamsport, PA 17701-6303
Phone: (570) 322-4741
Fax: (570) 323-6110

Authorised official

Name: Vincent I Disalvo
Title: President
Phone: (570) 322-4741

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence DS015354L (PA)

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Registry record

NPI: 1003044264
Entity type: Organization
NPI issued: 26 Jun 2009
Record last updated: 26 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.