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Individual

KENNETH T LOESBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
145 NUTT ROAD, PHOENIXVILLE, PA 19460
(610) 933-3881
(610) 933-9383
Mailing address
145 NUTT ROAD, PHOENIXVILLE, PA 19460
(610) 933-3881
(610) 933-9383

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS017937
PA

Other

Enumeration date
07/02/2007
Last updated
07/08/2007
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