Organization
C & K DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CONKLIN DMD (PRESIDENT)
(814) 574-6324
Entity
Organization
Contact information
Practice address
236 PENNSYLVANIA AVE, MILL HALL, PA 17751-1829
(570) 726-4988
(570) 726-4971
Mailing address
236 PENNSYLVANIA AVE, MILL HALL, PA 17751-1829
(570) 726-4988
(570) 726-4971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS037933
PA
1223G0001X
General Practice Dentistry
Primary
DS037955
PA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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