Tioga Dental Services | |
34 E Lawrence Rd Lawrenceville PA 16929-8801 | |
(570) 724-9145 | |
(570) 724-5397 |
Full Name | Tioga Dental Services |
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Speciality | Clinic/center - Dental |
Location | 34 E Lawrence Rd, Lawrenceville, Pennsylvania |
Authorized Official Name and Position | Alicia Anne Risner-bauman (DENTAL CLINIC DIRECTOR) |
Authorized Official Contact | 5708270145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tioga Dental Services 34 E Lawrence Rd Lawrenceville PA 16929-8801 Ph: (570) 724-9145 | Tioga Dental Services 34 E Lawrence Rd Lawrenceville PA 16929-8801 Ph: (570) 724-9145 |
NPI Number | 1255664819 |
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Provider Enumeration Date | 09/15/2009 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
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1255664819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Lawrenceville Laurel Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 32 E Lawrence Rd, Lawrenceville Health Center, Lawrenceville, PA 16929 Phone: 570-827-0125 Fax: 570-827-0129 |