| Kevin P Labosky Dmd Llc | |
|
474 Windmere Dr Suite 302 State College PA 16801 | |
| (814) 237-7004 | |
| (814) 237-7024 |
| Full Name | Kevin P Labosky Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 474 Windmere Dr, State College, Pennsylvania |
| Authorized Official Name and Position | Kevin Peter Labosky (OWNER) |
| Authorized Official Contact | 8142377004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P Labosky Dmd Llc 474 Windmere Dr Suite 302 State College PA 16801 Ph: (814) 237-7004 | Kevin P Labosky Dmd Llc 474 Windmere Dr Suite 302 State College PA 16801 Ph: (814) 237-7004 |
| NPI Number | 1679589493 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679589493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS03024IL (Pennsylvania) | Primary |
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