Pocono Pines Dental LLC

NPI #1750789087 in Blakeslee, Pennsylvania

Provider Information

NPI Number: 1750789087
Entity Type: Organization
Organization Name: Pocono Pines Dental LLC
Primary Specialty: Dentist
Enumeration Date: Dec 19, 2014
Last Updated: Dec 19, 2014

Practice Location

Address: 395 ROUTE 940
Address 2: SUITE 102
City: Blakeslee
State: Pennsylvania
ZIP Code: 18610
Phone: (570) 646-7811

Authorized Official

Name: DR. JOHN MANN, DMD
Title: MEMBER
Phone: (570) 646-7811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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