Individual
KARL D OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4808 DERRY ST, HARRISBURG, PA 17111-3440
(717) 564-9250
(717) 564-9250
Mailing address
4808 DERRY ST, HARRISBURG, PA 17111-3440
(717) 564-9250
(717) 564-9250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026797L
PA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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