Individual
DR. CHARLES DAVID KOVALCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1517 W PATRICK ST, B-7, FREDERICK, MD 21702-9063
(301) 695-5100
Mailing address
1517 W PATRICK ST, B-7, FREDERICK, MD 21702-9063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11887
MD
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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