Individual
DR. JOHN EVANISH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
HC 6 BOX 6924, ROUTE 6, HAWLEY, PA 18428-9002
(570) 226-8800
(570) 226-4939
Mailing address
HC 6 BOX 6924, ROUTE 6, HAWLEY, PA 18428-9002
(570) 226-8800
(570) 226-4939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028534L
PA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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