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Individual

DR. CHRISTOPHER WALTER KOTERWAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
401 E PULASKI HWY, ELKTON, MD 21921-6067
(410) 392-3737
(410) 392-3738
Mailing address
401 E PULASKI HWY, ELKTON, MD 21921-6067
(410) 392-3737
(410) 392-3738

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6583
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051896
UNITED CONCORDIA #
PA
Enumeration date
03/28/2007
Last updated
07/08/2007
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