# KOTARY, DETAR & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kotary & Kotary PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629094222
- **Authorized official:** DR. EDMOND M KOTARY D.M.D. (DENTIST)
- **Authorized official phone:** (814) 238-2431

## Contact information

- **Practice address:** 2014 SANDY DR, STATE COLLEGE, PA 16803-2515
- **Practice address phone:** (814) 238-2431
- **Practice address fax:** (814) 235-6881
- **Mailing address:** 2014 SANDY DR, STATE COLLEGE, PA 16803-2515
- **Mailing address phone:** (814) 238-2431
- **Mailing address fax:** (814) 235-6881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS016742L | PA | — |
| 1223G0001X | General Practice Dentistry | DS030572L | PA | — |
| 1223G0001X | General Practice Dentistry | DS031506L | PA | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/09/2007