Individual
DR. EVAN MORGAN RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 344-9684
Mailing address
959 WYOMING AVE, SCRANTON, PA 18509-3023
(570) 504-0882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044683
PA
Other
Enumeration date
06/13/2024
Last updated
06/18/2024
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