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1174797997
EDMOND MORRIS KOTARY
STATE COLLEGE, PA
NPI
1174797997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS030572-l)
Enumeration Date
2008-04-14
Last Update Date
2016-03-31
Business Address
Dr. EDMOND MORRIS KOTARY D.M.D.
2014 SANDY DR
STATE COLLEGE, PA 16803-2515
Phone number: 814-238-2431
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Mailing Address
Dr. EDMOND MORRIS KOTARY D.M.D.
2014 SANDY DR
STATE COLLEGE, PA 16803-2515
Phone number: 814-238-2431
Copy
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