Individual
DR. MARTIN ANTHONY KAPUSTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
125 W PENNA AVE, NEW STANTON, PA 15672-9470
(724) 925-8888
Mailing address
PO BOX 360, 125 W PENNA AVE, NEW STANTON, PA 15672-9470
(724) 925-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021221L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32685
UNITED CONCORDIA
PA
Enumeration date
11/08/2006
Last updated
07/08/2007
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