Individual
BETH PANTUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDH
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9198
(814) 274-9120
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9198
(814) 274-9120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH000118
PA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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