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1124104393
LAWRENCE DAVID KISELICA
BUTLER, PA
NPI
1124104393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: PA DS019428L)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- LAWRENCE DAVID KISELICA DDS
114 E DIAMOND ST
BUTLER, PA 16001-5918
Phone number: 724-282-6100
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Mailing Address
-- LAWRENCE DAVID KISELICA DDS
114 EAST DIAMOND ST
BUTLER, PA 16001-5906
Phone number: 724-282-6100
Copy
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