| Aqueline Elizabeth Kirby Memorial Health Center Dental Clinic | |
|
71 N Franklin St Wilkes Barre PA 18701-1312 | |
| (570) 822-4278 | |
| (570) 825-9926 |
| Full Name | Aqueline Elizabeth Kirby Memorial Health Center Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 71 N Franklin St, Wilkes Barre, Pennsylvania |
| Authorized Official Name and Position | Danielle Cappellini (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5708224178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aqueline Elizabeth Kirby Memorial Health Center Dental Clinic 71 N Franklin St Wilkes Barre PA 18701-1312 Ph: (570) 822-4278 | Aqueline Elizabeth Kirby Memorial Health Center Dental Clinic 71 N Franklin St Wilkes Barre PA 18701-1312 Ph: (570) 822-4278 |
| NPI Number | 1225254634 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225254634 | NPI | - | NPPES |
| 0007139380002 | Other | PA | MEDICAL ASSISTANCE |
| 828141 | Other | PW | GATEWAY |
| 167782 | Other | PA | UNISON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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