Individual
DR. WILLIAM JOSEPH FETCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11249 US ROUTE 422, ELDERTON, PA 15736-0458
(724) 354-3512
(724) 354-3014
Mailing address
PO BOX 458, 11249 US ROUTE 422, ELDERTON, PA 15736-0458
(724) 354-3512
(724) 354-3014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027175L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
672336
UNITED CONCORDIA
PA
Enumeration date
09/20/2006
Last updated
07/08/2007
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