Individual
DR. JACK BRACALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D,
Contact information
Practice address
404 N LEWIS RD, ROYERSFORD, PA 19468-1511
(610) 948-5552
Mailing address
404 N LEWIS RD, ROYERSFORD, PA 19468-1511
(610) 948-5552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-026211-L
PA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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