Organization
KENNETH E. MIKOLAS DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E MIKOLAS DDS (OWNER)
(724) 845-8380
Entity
Organization
Contact information
Practice address
227 MARKET ST, LEECHBURG, PA 15656-1336
(724) 845-8380
Mailing address
227 MARKET ST, LEECHBURG, PA 15656-1336
(724) 845-8380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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