Dale L Deconcilis O.D.

NPI 1013906353 - Optometrist - 152W00000X

NPI Details
NPI 1013906353
Gender Male
Enumeration Date 10/19/2005
Last Updated 09/17/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
950 S CENTRAL AVE STE 1
CANONSBURG PA, 15317-1489, US
Phone (724) 745-2020
Fax (724) 745-4888
Business Location
1196 MONTCLAIR RD
WASHINGTON PA, 15301-8269, US
Phone (724) 225-7233
Fax (724) 745-4888
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG000998
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According to our database, Dr. Dale L Deconcilis O.D. NPI is 1013906353, taxonomy code is 152W00000X and license number is OEG000998, license state is located at Pennsylvania. Dale L Deconcilis O.D. physically located at 950 S Central Ave Ste 1, Canonsburg PA, 15317-1489. NPI Number Dale L Deconcilis O.D. has the Individual type.

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1013906353 NPI number is provided on an as is basis without warranty of any kind. 1013906353 is maintained by the National Plan & Provider Enumeration System. The contents of Dale L Deconcilis O.D. are for informational purposes only.