# SUKONECK & WILSON P.C.

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

## Provider details

- **NPI number:** 1861547341
- **Authorized official:** LORRAINE VARGAS (OFFICE MANAGER)
- **Authorized official phone:** (215) 765-5281

## Contact information

- **Practice address:** 2401 PENNSYLVANIA AVE, SUITE 1A8, PHILADELPHIA, PA 19130-3010
- **Practice address phone:** (215) 765-5281
- **Practice address fax:** (215) 765-7334
- **Mailing address:** 2401 PENNSYLVANIA AVE, SUITE 1A8, PHILADELPHIA, PA 19130-3010
- **Mailing address phone:** (215) 765-5281
- **Mailing address fax:** (215) 765-7334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19574565 | PA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020