| Kotula Dental | |
|
3011 Kutztown Rd Reading PA 19605-3406 | |
| (610) 929-0070 | |
| (610) 939-1797 |
| Full Name | Kotula Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3011 Kutztown Rd, Reading, Pennsylvania |
| Authorized Official Name and Position | Edmund Ned Kotula (PRESIDENT) |
| Authorized Official Contact | 6109290070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kotula Dental 3011 Kutztown Rd Reading PA 19605-3406 Ph: (610) 929-0070 | Kotula Dental 3011 Kutztown Rd Reading PA 19605-3406 Ph: (610) 929-0070 |
| NPI Number | 1073812012 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073812012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS029484L (Pennsylvania) | Primary |
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