Individual
DR. JOHN P KONICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
278 MAIN STREET, SUITE 101, DUPONT, PA 18641
(570) 655-8973
(570) 655-3588
Mailing address
278 MAIN STREET, SUITE 101, DUPONT, PA 18641
(570) 655-8973
(570) 655-3588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023443L
PA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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