| Vincent I. Disalvo, Inc. | |
|
121 E 4th St Williamsport PA 17701-6303 | |
| (570) 322-4741 | |
| (570) 323-6110 |
| Full Name | Vincent I. Disalvo, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 121 E 4th St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Vincent I Disalvo (PRESIDENT) |
| Authorized Official Contact | 5703224741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent I. Disalvo, Inc. 121 E 4th St Williamsport PA 17701-6303 Ph: (570) 322-4741 | Vincent I. Disalvo, Inc. 121 E 4th St Williamsport PA 17701-6303 Ph: (570) 322-4741 |
| NPI Number | 1003044264 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003044264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS015354L (Pennsylvania) | Primary |
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