Individual
MR. MICHAEL RAFFERTY PELCZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 WASHINGTON AVE, CHESTERTOWN, MD 21620
(410) 778-2474
(410) 778-9452
Mailing address
PO BOX 141, CHESTERTOWN, MD 21620
(410) 778-2474
(410) 778-9452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5227
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5227
MD ST DENTAL ASSOC
MD
Enumeration date
06/06/2007
Last updated
07/08/2007
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