Benjamin L. Carrico Dmd Inc.pc | |
95 Main St Strattanville PA 16258-1903 | |
(814) 980-4021 | |
(814) 764-6173 |
Full Name | Benjamin L. Carrico Dmd Inc.pc |
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Speciality | Dentist - General Practice |
Location | 95 Main St, Strattanville, Pennsylvania |
Authorized Official Name and Position | Deborah Ann Kunselman (OFFICE MANAGER) |
Authorized Official Contact | 8149804021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Benjamin L. Carrico Dmd Inc.pc 95 Main St Strattanville PA 16258-1903 Ph: (814) 980-4021 | Benjamin L. Carrico Dmd Inc.pc 95 Main St Strattanville PA 16258-1903 Ph: (814) 980-4021 |
NPI Number | 1477089019 |
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Provider Enumeration Date | 05/02/2017 |
Last Update Date | 05/02/2017 |
Identifier | Type | State | Issuer |
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1477089019 | NPI | - | NPPES |
1720106768 | Other | PA | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS036553 (Pennsylvania) | Primary |