Individual
JOHHN J KRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12412 EASTERN AVE, MIDDLE RIVER, MD 21220-1308
(410) 335-7771
Mailing address
PO BOX B, CHASE, MD 21027-0020
(410) 335-7771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10524
MD
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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