Individual
DR. PAUL KOBERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 814, CHEVY CHASE, MD 20815-4404
(301) 913-0600
Mailing address
5530 WISCONSIN AVE, SUITE 814, CHEVY CHASE, MD 20815-4404
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
09809
MD
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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