Organization
ENDODONTICS & ENDODONTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROBERT KRASNER D.D.S. (OWNER/ENDODONTIST)
(610) 327-4646
Entity
Organization
Contact information
Practice address
18 S ROLAND ST, POTTSTOWN, PA 19464-5836
(610) 327-4646
(610) 327-3234
Mailing address
18 S ROLAND ST, POTTSTOWN, PA 19464-5836
(610) 327-4646
(610) 327-3234
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS020178R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
625506
UNITED CONCORDIA GROUP #
PA
Enumeration date
07/19/2006
Last updated
08/22/2020
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