Organization
KOTARY, DETAR & ASSOCIATES
Active
Other names
Kotary & Kotary PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND M KOTARY D.M.D. (DENTIST)
(814) 238-2431
Entity
Organization
Contact information
Practice address
2014 SANDY DR, STATE COLLEGE, PA 16803-2515
(814) 238-2431
(814) 235-6881
Mailing address
2014 SANDY DR, STATE COLLEGE, PA 16803-2515
(814) 238-2431
(814) 235-6881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS016742L
PA
1223G0001X
General Practice Dentistry
DS030572L
PA
1223G0001X
General Practice Dentistry
Primary
DS031506L
PA
Other
Enumeration date
07/15/2006
Last updated
08/09/2007
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