Individual
HEYWOOD ROY KOTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
240 S 40TH ST, PENN DENTAL MEDICINE, PHILADELPHIA, PA 19104-6030
(215) 898-8946
(215) 573-4090
Mailing address
240 S 40TH ST, PENN DENTAL MEDICINE, PHILADELPHIA, PA 19104-6030
(215) 898-8946
(215) 573-4090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020796L
PA
Other
Enumeration date
03/12/2007
Last updated
04/22/2011
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