Lisa M Kotch Dmd PC

NPI #1790958437 in Kingston, Pennsylvania

Provider Information

NPI Number: 1790958437
Entity Type: Organization
Organization Name: Lisa M Kotch Dmd PC
Primary Specialty: Dentist
Enumeration Date: Apr 2, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 333 WYOMING AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-3502
Phone: (570) 714-8083

Authorized Official

Name: LISA M KOTCH, DMD
Title: PRESIDENT
Phone: (570) 714-8073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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