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Organization

HORIZON DENTAL CARE AT CHERRY RIDGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN EVANISH III DDS (OWNER)
(570) 253-4245
Entity
Organization

Contact information

Practice address
3025 LAKE ARIEL HWY, HONESDALE, PA 18431-7606
(570) 253-4245
Mailing address
3025 LAKE ARIEL HWY, HONESDALE, PA 18431-7606
(570) 253-4245

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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