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Individual
DR. KATHY M PERCOSKY
Active
Individual
DR. KATHY M PERCOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019507300001
MEDICAL ASSISTANCE ACCESS
PA
01
—
86013
UNITED CONCORDIA
PA
Enumeration date
11/22/2006
Last updated
07/08/2007
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