| Kiddos Pc | |
|
6583 State Route 819 S Ste 1 Mt Pleasant PA 15666-3503 | |
| (724) 542-4818 | |
| (724) 542-4828 |
| Full Name | Kiddos Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6583 State Route 819 S Ste 1, Mt Pleasant, Pennsylvania |
| Authorized Official Name and Position | Marilou Dibagno (OFFICE MANAGER) |
| Authorized Official Contact | 7245424818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiddos Pc 6583 State Route 819 S Ste 1 Mt Pleasant PA 15666-3503 Ph: (724) 542-4818 | Kiddos Pc 6583 State Route 819 S Ste 1 Mt Pleasant PA 15666-3503 Ph: (724) 542-4818 |
| NPI Number | 1487172359 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487172359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | DS035406 (Pennsylvania) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DS030164L (Pennsylvania) | Primary |
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