Individual
DR. NICOLE LYNN KOTZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2907 PLEASANT VALLEY BOULEVARD, ALTOONA, PA 16602-4377
(814) 940-7820
Mailing address
2907 PLEASANT VALLEY BOULEVARD, ALTOONA, PA 16602-4377
(814) 940-7820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037053
PA
Other
Enumeration date
06/22/2007
Last updated
09/08/2016
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