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Organization
JOHN WHYTOSEK D.M.D. P.C
Active
Organization
JOHN WHYTOSEK D.M.D. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANN SMITH (OFFICE MANAGER)
(610) 353-8200
Entity
Organization
Contact information
Practice address
2004 SPROUL ROAD, SUITE 304, BROOMALL, PA 19008
(610) 353-8200
(610) 356-0900
Mailing address
2004 SPROUL ROAD, SUITE 304, BROOMALL, PA 19008
(610) 353-8200
(610) 356-0900
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS030593L
PA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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