Individual
DR. JOHN VINCENT KRACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1306 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
(856) 875-4600
Mailing address
1306 LIBERTY PL, SICKLERVILLE, NJ 08081-5710
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02749100
NJ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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