Organization
ADAMS DENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY KOKAI DDS (SECRETARY)
(724) 779-7645
Entity
Organization
Contact information
Practice address
518 MYOMA RD, SUITE 200, MARS, PA 16046-2324
(724) 779-7645
Mailing address
518 MYOMA RD, SUITE 200, MARS, PA 16046-2324
(724) 779-7645
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS-022717-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101533679 0001
—
PA
Enumeration date
08/21/2010
Last updated
08/21/2010
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