Organization · Type 2 NPI
Pocono Kids Dental
Dental Clinic/Center · East Stroudsburg, PA
NPI number
1164590998
Active
Practice location
175 E Brown St Ste 114
East Stroudsburg, PA 18301-3098
Fax (570) 421-9014
Mailing address
206 E Brown St
East Stroudsburg, PA 18301-3006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1164590998
Pocono Kids Dental's National Provider Identifier is 1164590998, issued on Dec 1, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Stroudsburg, PA. The record was last updated on Mar 11, 2022.