Individual
LAWRENCE DAVID KISELICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 E DIAMOND ST, BUTLER, PA 16001-5918
(724) 282-6100
(724) 282-7701
Mailing address
114 EAST DIAMOND ST, BUTLER, PA 16001-5906
(724) 282-6100
(724) 282-7701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS019428L
PA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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