Organization
STREAMSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS CHRISTOPHER KURTZ D.D.S. (OWNER)
(814) 934-7161
Entity
Organization
Contact information
Practice address
109 E MAIN ST, EVERETT, PA 15537-1259
(814) 934-7161
Mailing address
109 E MAIN ST, EVERETT, PA 15537-1259
(814) 934-7161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
05/25/2016
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