Individual
DR. KATHLEEN KOPECKY-GROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
428 CUMBERLAND ST, LEBANON, PA 17042-5314
(717) 274-2820
Mailing address
428 CUMBERLAND ST, LEBANON, PA 17042-5314
(717) 274-2820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 024851L
PA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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