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Individual

DR. CHARLES A. KARCUTSKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
241 WYOMING AVE, WYOMING, PA 18644-1618
(570) 693-4550
(570) 693-3199
Mailing address
241 WYOMING AVE, WYOMING, PA 18644-1618
(570) 693-4550
(570) 693-3199

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022944-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
98-22944
DELTA DENTAL
PA
01
KA763331
UNITED CONCORDIA
PA
Enumeration date
07/21/2006
Last updated
07/08/2007
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