Individual
DR. RONALD THOMAS SHEVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 PIERCE ST, KINGSTON, PA 18704
(570) 288-3855
Mailing address
220 PIERCE ST, KINGSTON, PA 18704
(570) 288-3855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS18735L
PA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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