# MILLERSVILLE DENTAL LLC

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

## Provider details

- **NPI number:** 1295001428
- **Authorized official:** DR. KURT A PESTA DDS (OWNER MEMBER LLC)
- **Authorized official phone:** (717) 871-9002

## Contact information

- **Practice address:** 525 LEAMAN AVE, MILLERSVILLE, PA 17551-1109
- **Practice address phone:** (717) 871-9002
- **Mailing address:** 525 LEAMAN AVE, MILLERSVILLE, PA 17551-1109
- **Mailing address phone:** (717) 871-9002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS026925L | PA | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012