Organization
MARY REED DACANAL OD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DACANAL OWNER (OPTOMETRIST)
(814) 772-0674
Entity
Organization
Contact information
Practice address
20 N BROAD ST, RIDGWAY, PA 15853-8018
(814) 772-0674
Mailing address
20 N BROAD ST, RIDGWAY, PA 15853-8018
(814) 772-0674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000721
PA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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