MARY T DACANAL OD

Dr MARY T DACANAL OD is a female medical professional, specializing in Optometry. She graduated in 1990 from Pennsylvania College Of Optometry.

Contact

516 MARKET ST
JOHNSONBURG
PA
158451240

Tel:

MARY T DACANAL OD Information

Npi 1528054285
Pac Id 3971578303
Professional Enrollment Id I20040830000700
Last Name DACANAL
First Name MARY
Middle Name T
Suffix
Gender F
Credential OD
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 1990
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 516 MARKET ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JOHNSONBURG
State PA
Zip Code 158451240
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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