Organization
BRYDEN & KESSEL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A EDWARD KESSEL JR. D.D.S. (PARTNER)
(570) 742-8231
Entity
Organization
Contact information
Practice address
664 MAHONING ST, MILTON, PA 17847-2240
(570) 742-8231
(570) 742-4980
Mailing address
664 MAHONING ST, MILTON, PA 17847-2240
(570) 742-8231
(570) 742-4980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011236780001
MEDICAL ASSISTANCE
PA
01
—
735573
UNITED CONCORDIA.
PA
Enumeration date
07/16/2006
Last updated
08/22/2020
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