Individual
DR. LEO J. KITUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
50 W BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-2645
(609) 641-1065
(609) 645-0162
Mailing address
PO BOX 341, GWYNEDD VALLEY, PA 19437-0341
(609) 641-1065
(609) 645-0162
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI01763300
NJ
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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