Mary Reed Dacanal Od Inc.

NPI #1699060335 in Ridgway, Pennsylvania

Provider Information

NPI Number: 1699060335
Entity Type: Organization
Organization Name: Mary Reed Dacanal Od Inc.
Primary Specialty: Optometrist
Enumeration Date: Jun 10, 2011
Last Updated: Jun 10, 2011

Practice Location

Address: 20 N BROAD ST
City: Ridgway
State: Pennsylvania
ZIP Code: 15853-8018
Phone: (814) 772-0674

Authorized Official

Name: MARY DACANAL, OWNER
Title: OPTOMETRIST
Phone: (814) 772-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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