Individual
JEREMEY DANIEL RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3603
(570) 491-0126
Mailing address
199 S MAIN ST, WILKES BARRE, PA 18701-1509
(570) 861-9781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32243972
PA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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