Charles T Brand Dmd Richard G Coslett Dmd Pc | |
121 S Memorial Hwy Shavertown PA 18708 | |
(570) 696-3868 | |
(570) 696-3541 |
Full Name | Charles T Brand Dmd Richard G Coslett Dmd Pc |
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Speciality | Dentist - General Practice |
Location | 121 S Memorial Hwy, Shavertown, Pennsylvania |
Authorized Official Name and Position | Charles T Brand (DENTIST) |
Authorized Official Contact | 5706963869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles T Brand Dmd Richard G Coslett Dmd Pc 121 S Memorial Hwy Shavertown PA 18708 Ph: (570) 696-3868 | Charles T Brand Dmd Richard G Coslett Dmd Pc 121 S Memorial Hwy Shavertown PA 18708 Ph: (570) 696-3868 |
NPI Number | 1811075104 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1811075104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |