Organization
MAGANN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ANN MAGANN DMD (DOCTOR)
(570) 421-3700
Entity
Organization
Contact information
Practice address
28 N 6TH ST, STROUDSBURG, PA 18360
(570) 421-3700
(570) 421-2628
Mailing address
28 N 6TH ST, STROUDSBURG, PA 18360
(570) 421-3700
(570) 421-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026433L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142257
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/16/2007
Last updated
06/30/2008
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