Individual
JOHN CHARLES KERECZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
84 CLINTON AVE, DOBBS FERRY, NY 10522
(914) 693-0014
(914) 693-0014
Mailing address
84 CLINTON AVE, DOBBS FERRY, NY 10522
(914) 693-0014
(914) 693-0014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00285025
—
NY
Enumeration date
03/04/2008
Last updated
03/04/2008
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