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NPI Code Detail

MEDICARE: KIMBERLY JANUSZ DDS

MEDICARE:   KIMBERLY  JANUSZ  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist12012302AIN
2122300000XDentistDS042052PA

General Provider Information

NPI Number : 1073998399
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY JANUSZ DDS
Provider Business Mailing Address
First Line : 2725 CENTER ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-2329
Country : US
Telephone Number : 412-922-9292
Fax Number : 812-876-7325
Provider Business Practice Location Address
First Line : 2725 CENTER ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-2329
Country : US
Telephone Number : 412-922-9292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 01/14/2021

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Directions to “ KIMBERLY JANUSZ DDS” Practice Location

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