Individual
LEIGH JACOPETTI-KONDRASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2 AUDUBON CT, BLOOMSBURG, PA 17815-7754
(570) 387-0533
Mailing address
2 AUDUBON CT, BLOOMSBURG, PA 17815-7754
(570) 387-0533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038789
PA
Other
Enumeration date
07/05/2011
Last updated
03/12/2025
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