Organization
PELKA ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASIA PELKA MBA (BUSINESS MANAGER)
(914) 588-2472
Entity
Organization
Contact information
Practice address
110 REGENT CT, STATE COLLEGE, PA 16801-7966
(814) 234-2428
(814) 231-0118
Mailing address
110 REGENT CT, STATE COLLEGE, PA 16801-7966
(814) 234-2428
(814) 231-0118
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS039116
PA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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