Organization
POCONO PINES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MANN DMD (MEMBER)
(570) 646-7811
Entity
Organization
Contact information
Practice address
395 ROUTE 940, SUITE 102, BLAKESLEE, PA 18610
(570) 646-7811
Mailing address
PO BOX 1005, 395 ROUTE 940 SUITE 102, BLAKESLEE, PA 18610
(570) 646-7811
(570) 643-9747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS035165
—
122300000X
Dentist
Primary
DS03529
—
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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