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Individual

DR. RANDY I KALP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1257 STATE ROUTE 711, STAHLSTOWN, PA 15687-1300
(724) 593-2201
Mailing address
1257 STATE ROUTE 711, STAHLSTOWN, PA 15687-1300
(724) 593-2201

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020729L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS020729L
STATE LICENSE NUMBER
PA
Enumeration date
09/16/2006
Last updated
07/08/2007
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