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Individual

DR. MICHAEL CRAIG KRETCHMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
10931 STRICKLAND RD, SUITE 101, RALEIGH, NC 27615-2085
(919) 844-7140
(919) 845-6065
Mailing address
10931 STRICKLAND RD, SUITE 101, RALEIGH, NC 27615-2085

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
07090
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07090
DENTIST LICENSE NUMBER
NC
Enumeration date
04/10/2007
Last updated
07/08/2007
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