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2014 Sandy Dr State College PA 16803-2515 | |
| (814) 238-2431 | |
| (814) 235-6881 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2014 Sandy Dr, State College, Pennsylvania |
| Authorized Official Name and Position | Edmond M Kotary (DENTIST) |
| Authorized Official Contact | 8142382431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2014 Sandy Dr State College PA 16803-2515 Ph: (814) 238-2431 | 2014 Sandy Dr State College PA 16803-2515 Ph: (814) 238-2431 |
| NPI Number | 1629094222 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629094222 | NPI | - | NPPES |
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