Organization Name: | PEDIATRIC DENTAL CARE PC, INC |
NPI Number: | 1972673010 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L KILARESKI (DENTIST) |
Mailing Address: | 1019 Ghaner Rd Ste 100 Port Matilda |
State: | PA US |
Postal Code: | 168707201 |
Phone Number: | 8142387120 |
Fax Number: | 8142382981 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 02/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS-019843-L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |