Individual
DR. MICHAEL KOTECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5501 OLD YORK ROAD, PALEY BUILDING, 2ND FLOOR, EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141-3098
(215) 456-7104
Mailing address
5501 OLD YORK ROAD, PALEY BUILDING, 2ND FLOOR, EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141-3098
(215) 456-7104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041022
PA
Other
Enumeration date
08/24/2016
Last updated
05/08/2019
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