Organization
SUKONECK & WILSON P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE VARGAS (OFFICE MANAGER)
(215) 765-5281
Entity
Organization
Contact information
Practice address
2401 PENNSYLVANIA AVE, SUITE 1A8, PHILADELPHIA, PA 19130-3010
(215) 765-5281
(215) 765-7334
Mailing address
2401 PENNSYLVANIA AVE, SUITE 1A8, PHILADELPHIA, PA 19130-3010
(215) 765-5281
(215) 765-7334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19574565
PA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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