| Millersville Dental Llc | |
|
525 Leaman Ave Millersville PA 17551-1109 | |
| (717) 871-9002 | |
| Not Available |
| Full Name | Millersville Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 525 Leaman Ave, Millersville, Pennsylvania |
| Authorized Official Name and Position | Kurt A Pesta (OWNER MEMBER LLC) |
| Authorized Official Contact | 7178719002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millersville Dental Llc 525 Leaman Ave Millersville PA 17551-1109 Ph: (717) 871-9002 | Millersville Dental Llc 525 Leaman Ave Millersville PA 17551-1109 Ph: (717) 871-9002 |
| NPI Number | 1295001428 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 04/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295001428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS026925L (Pennsylvania) | Primary |