Dr. Douglas G Kistler, D.D.S.
Dentist, General Practice in Spring Grove, PA. Individual provider (NPI-1).
NPI number1174636799
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174636799
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas G Kistler
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DSO29459L | PA | Yes |
Practice location
26 Roth Church RdSpring Grove Professional Center
Spring Grove, PA 17362-1406
Phone 717-225-5741
Mailing address
26 Roth Church RdSpring Grove Professional Center
Spring Grove, PA 17362-1406
Phone 717-225-5741
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