Individual
KAYLEIGH MORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1302 FREEDOM RD, CRANBERRY TWP, PA 16066-5016
(724) 772-2788
Mailing address
8003 HINSDALE LN, MC DONALD, PA 15057-3576
(412) 527-0036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042322
PA
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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