Individual
DR. KURT S DANGL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
5158 PEACH ST, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Mailing address
1021 W 6TH ST, ERIE, PA 16507-1017
(941) 232-2086
(941) 343-3849
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026495L
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS026495L
PA
Other
Enumeration date
11/03/2010
Last updated
07/20/2015
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