Individual
JOHN EDWARD DUCLOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 BEECH AVE, PATTON, PA 16668-1001
(814) 674-8444
Mailing address
350 BEECH AVE, PATTON, PA 16668
(814) 674-8444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022803L
PA
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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