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Individual

GREGORY J KUCHTJAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD PA

Contact information

Practice address
933 CAROLINA AVENUE, STATESVILLE, NC 28677
(704) 883-8516
(704) 883-8560
Mailing address
933 CAROLINA AVENUE, STATESVILLE, NC 28677
(704) 883-8516
(704) 883-8560

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7068
NC

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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