DR. John P Konicki, DDS

NPI #1760592430 in Dupont, Pennsylvania

Provider Information

NPI Number: 1760592430
Entity Type: Individual
Name: DR. John P Konicki, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 278 MAIN STREET
Address 2: SUITE 101
City: Dupont
State: Pennsylvania
ZIP Code: 18641
Phone: (570) 655-8973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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