NPI | 1629094222 |
---|---|
Former Legal Business Name | KOTARY & KOTARY PC |
Entity Type | Organization |
Authorized Contact | EDMOND M KOTARY Dentist 814-238-2431 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031506L) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS030572L) |
1223G0001X Dentist, General Practice (Licence: PA DS016742L) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-08-09 |