Individual
DR. JOHN LEWIS KRUMPOTICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 130, FREDERICK, MD 21702-4397
(301) 663-5552
(301) 663-4629
Mailing address
6807 CHERRY TREE CT, NEW MARKET, MD 21774-6702
(301) 829-3356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8036
MD
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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