Kenneth Detlaf Cross, DMD

NPI #1982717328 in Benton, Pennsylvania

Provider Information

NPI Number: 1982717328
Entity Type: Individual
Name: Kenneth Detlaf Cross, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 17, 2006
Last Updated: Apr 3, 2016

Practice Location

Address: 510 MAIN ST
City: Benton
State: Pennsylvania
ZIP Code: 17814
Phone: (570) 925-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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