Organization
ERIE DENTAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISUN ELIZABETH KOVACH DMD (OWNER)
(814) 323-6592
Entity
Organization
Contact information
Practice address
2580 W 8TH ST, ERIE, PA 16505-4416
(814) 240-3667
Mailing address
2580 W 8TH ST, ERIE, PA 16505-4416
(814) 240-3667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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