Organization
EXTON ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL I KRATCHMAN DMD (PRESIDENT)
(610) 524-1010
Entity
Organization
Contact information
Practice address
665 EXTON CMNS, EXTON, PA 19341-2446
(610) 524-1610
(610) 524-0264
Mailing address
665 EXTON CMNS, EXTON, PA 19341-2446
(610) 524-1610
(610) 524-0264
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS027045L
PA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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