Individual
DR. MICHAEL P. KOVALESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
720 LIMEKILN RD, NEW CUMBERLAND, PA 17070-2358
(717) 774-6700
Mailing address
720 LIMEKILN RD, NEW CUMBERLAND, PA 17070-2358
(717) 774-6700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-030397-L
PA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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