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Individual
DR. PHILIP GEORGE KOTICK
Active
Individual
DR. PHILIP GEORGE KOTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033450
NY
Other
Enumeration date
01/10/2014
Last updated
10/11/2021
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