Individual
DR. DAVID THOMAS KOPETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11 E MAIN ST, CANTON, PA 17724
(570) 673-8833
(570) 673-7066
Mailing address
11 E MAIN ST, CANTON, PA 17724
(570) 673-8833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029150L
PA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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