Individual
NANCY KAREN KOSHETAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2602 W 9TH ST, SUITE 100, CHESTER, PA 19013-2040
(610) 497-2900
(610) 497-9552
Mailing address
2600 W 9TH ST, 2 NORTH, CHESTER, PA 19013-2040
(610) 485-3800
(610) 485-4221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023947L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000339090001
—
PA
Enumeration date
05/17/2006
Last updated
07/08/2007
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