NPI | 1649391582 |
---|---|
Former Legal Business Name | KENNETH A. DOLESKI, D.M.D., M.S. AND MARIAN S. WOLFORD, D.M.D., M.S. |
Entity Type | Organization |
Authorized Contact | KELLY MAY Financial Coordinator 814-835-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS026417L) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS027002L) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |