| Ilcheon Joo Dds Pc | |
|
46 Mifflin St Pine Grove PA 17963-1318 | |
| (570) 345-3495 | |
| (570) 345-3161 |
| Full Name | Ilcheon Joo Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 46 Mifflin St, Pine Grove, Pennsylvania |
| Authorized Official Name and Position | Ilcheon Joo (PRESIDENT/OWNER) |
| Authorized Official Contact | 5703453495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilcheon Joo Dds Pc 46 Mifflin St Pine Grove PA 17963-1318 Ph: (570) 345-3495 | Ilcheon Joo Dds Pc 46 Mifflin St Pine Grove PA 17963-1318 Ph: (570) 345-3495 |
| NPI Number | 1699006452 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699006452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS037775 (Pennsylvania) | Primary |
Stephen D Muench Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Mifflin St, Pine Grove, PA 17963 Phone: 570-345-3495 | |
Mangat Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Tulpehocken St, Pine Grove, PA 17963 Phone: 570-345-8007 |