Organization
MILLERSVILLE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT A PESTA DDS (OWNER MEMBER LLC)
(717) 871-9002
Entity
Organization
Contact information
Practice address
525 LEAMAN AVE, MILLERSVILLE, PA 17551-1109
(717) 871-9002
Mailing address
525 LEAMAN AVE, MILLERSVILLE, PA 17551-1109
(717) 871-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026925L
PA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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