Organization
KEVIN P LABOSKY DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PETER LABOSKY DMD (OWNER)
(814) 237-7004
Entity
Organization
Contact information
Practice address
474 WINDMERE DR, SUITE 302, STATE COLLEGE, PA 16801
(814) 237-7004
(814) 237-7024
Mailing address
474 WINDMERE DR, SUITE 302, STATE COLLEGE, PA 16801
(814) 237-7004
(814) 237-7024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS03024IL
PA
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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