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Organization
THOMAS J KOSICK DMD PC
Active
Organization
THOMAS J KOSICK DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JAMES KOSICK DMD (OWNER)
(724) 376-2004
Entity
Organization
Contact information
Practice address
36 BRANCH STREET, STONEBORO, PA 16153
(724) 376-2004
(724) 376-2108
Mailing address
PO BOX 127, STONEBORO, PA 16153-0127
(724) 376-2004
(724) 376-2108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031319-L
PA
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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