Individual
DR. KIMBERLE IAN MONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. M. D.
Contact information
Practice address
534 LINCOLN AVE, BELLEVUE, PA 15202-3508
(412) 766-7532
(412) 766-9221
Mailing address
121 LYNDHURST CIR, WEXFORD, PA 15090-8870
(724) 940-4213
(412) 766-9221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-026807-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453869
UNITED CONCORDIA INS. CO.
PA
Enumeration date
04/17/2007
Last updated
07/08/2007
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