Individual
PETER J PRANCKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
601 N 6TH ST, DENVER, PA 17517-1313
(717) 336-2807
Mailing address
22 NEWPORT PIKE, GAP, PA 17527-9698
(717) 823-6324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039198
PA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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