Cda Lake Winola LLC
Cda Lake Winola LLC is a General Practice Dentistry in Factoryville, Pennsylvania. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1220 PA-307Factoryville, PA 18419
Phone: (570) 378-3305
Fax: (570) 378-3430
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1104491653 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Cda Lake Winola LLC |
| Authorized official | Jason Hanyon — Owner · (570) 378-3305 |
| Other names | Century Dental Lake Winola |
| NPI enumerated | May 26, 2021 |
| Last updated in NPPES | May 26, 2021 |
| Certification date | May 13, 2021 |
| Mailing address | 1220 Pa-307, Factoryville, PA 18419 |