Organization
LISA M KOTCH DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M KOTCH DMD (PRESIDENT)
(570) 714-8073
Entity
Organization
Contact information
Practice address
333 WYOMING AVE, KINGSTON, PA 18704-3502
(570) 714-8083
Mailing address
333 WYOMING AVE, KINGSTON, PA 18704-3502
(570) 714-8083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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