| NPI | 1073812012 |
|---|---|
| Doing Business As | KOTULA DENTAL |
| Entity Type | Organization |
| Authorized Contact | EDMUND NED KOTULA President 610-929-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS029484L) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |