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Individual

DR. BARRY SUKONECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2401 PENNSYLVANIA AVE, SUITE 1A8, PHILADELPHIA, PA 19130-3010
(215) 765-5281
(215) 765-7334
Mailing address
2401 PENNSYLVANIA AVE, SUITE 1A8, PHILADELPHIA, PA 19130-3010
(215) 765-5281
(215) 765-7334

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS16280L
PA

Other

Enumeration date
03/20/2014
Last updated
03/25/2014
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