NPI 1134477425

Affiliated Pediatric Dentistry

Organisation Point of Service Scranton, PA

Practice location

Address: 313 Mulberry St, Scranton, PA 18503-1221
Phone: (570) 346-7760
Fax: (570) 346-9002

Authorised official

Name: Ross M Wezmar
Title: Owner
Phone: (570) 346-7760

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 17699 (PA)

Other Point of Service providers in Pennsylvania →

Registry record

NPI: 1134477425
Entity type: Organization
NPI issued: 17 Aug 2012
Record last updated: 18 Jan 2013

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.