# DERON T. KOVAC, D.M.D. & BRENDAN F. MULLIGAN, D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285081174
- **Authorized official:** DR. BRENDAN FRANCIS MULLIGAN D.M.D. (OWNER)
- **Authorized official phone:** (610) 444-3433

## Contact information

- **Practice address:** 208 W STATE ST, KENNETT SQUARE, PA 19348-3023
- **Practice address phone:** (610) 444-3433
- **Practice address fax:** (610) 444-4360
- **Mailing address:** 208 W STATE ST, KENNETT SQUARE, PA 19348-3023
- **Mailing address phone:** (610) 444-3433
- **Mailing address fax:** (610) 444-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS029181L | PA | Yes |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 05/20/2016
