| Angela C. Resavage Dmd, Pc | |
|
1590 Wyoming Ave Forty Fort PA 18704-4226 | |
| (570) 288-8170 | |
| Not Available |
| Full Name | Angela C. Resavage Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1590 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Angela Resavage (PRESIDENT) |
| Authorized Official Contact | 5702888170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela C. Resavage Dmd, Pc 1590 Wyoming Ave Forty Fort PA 18704-4226 Ph: (570) 288-8170 | Angela C. Resavage Dmd, Pc 1590 Wyoming Ave Forty Fort PA 18704-4226 Ph: (570) 288-8170 |
| NPI Number | 1881933315 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881933315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS029632L (Pennsylvania) | Primary |
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