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Individual

DR. CHARLES MORTON KROWICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
63 MAIN STREET, LEBANON, NJ 08833
(908) 236-2802
(908) 236-7154
Mailing address
63 MAIN STREET, PO BOX 545, LEBANON, NJ 08833
(908) 537-2447
(908) 236-7154

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI01084100
NJ

Other

Enumeration date
08/19/2006
Last updated
07/08/2007
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