Individual
KRISTOPHER DOERSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2687 EUCLID AVE, S WILLIAMSPORT, PA 17702-6754
(570) 326-5456
(570) 323-4550
Mailing address
401 N WASHINGTON ST, MONTOURSVILLE, PA 17754-1337
(570) 326-5456
(570) 323-4550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037538
PA
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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