Horizon Dental Care At Moscow LLC
Dentist, General Practice in Stroudsburg, PA. Organization (NPI-2).
NPI number1619702057
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1619702057
- Entity type
- Organization (NPI-2)
- Legal business name
- Horizon Dental Care At Moscow LLC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2024
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
440 Main StStroudsburg, PA 18360-2405
Phone 570-342-8800
Mailing address
400 Wyoming Ave Ste 300Scranton, PA 18503-1238
Phone 570-541-4144
Authorized official
Jennifer Josselyn
Rcm
5705414144
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