Individual
DR. DOUGLAS G KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26 ROTH CHURCH RD, SPRING GROVE PROFESSIONAL CENTER, SPRING GROVE, PA 17362-1406
(717) 225-5741
Mailing address
26 ROTH CHURCH RD, SPRING GROVE PROFESSIONAL CENTER, SPRING GROVE, PA 17362-1406
(717) 225-5741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO29459L
PA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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