Individual
JOHN W CERMINARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1341 W 26TH ST, ERIE, PA 16508-1401
(814) 453-6374
(814) 456-5372
Mailing address
1341 W 26TH ST, ERIE, PA 16508-1401
(814) 453-6374
(814) 456-5372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028747L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00145825900002
—
PA
Enumeration date
06/16/2006
Last updated
07/08/2007
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