| Santo Lafoca, Dmd | |
|
20 N Main St Pittston PA 18640-1806 | |
| (570) 655-3040 | |
| (570) 655-5634 |
| Full Name | Santo Lafoca, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 N Main St, Pittston, Pennsylvania |
| Authorized Official Name and Position | Marilyn Malia (OFFICE MANAGER) |
| Authorized Official Contact | 5706553040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santo Lafoca, Dmd 20 N Main St Pittston PA 18640-1806 Ph: (570) 655-3040 | Santo Lafoca, Dmd 20 N Main St Pittston PA 18640-1806 Ph: (570) 655-3040 |
| NPI Number | 1437309556 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437309556 | NPI | - | NPPES |
| 001610766003 | Medicaid | PA | |
| 102166645 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS027282L (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS034240 (Pennsylvania) | Secondary |
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