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Organization

KUPCHIK DENTAL, PLLC

Active
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Organization

KUPCHIK DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA KUPCHIK DDS (DENTIST)
(213) 479-9547
Entity
Organization

Contact information

Practice address
2 MEDICAL PARK DR, SUITE 16, WEST NYACK, NY 10994-1965
(213) 479-9547
Mailing address
2 MEDICAL PARK DR, SUITE 16, WEST NYACK, NY 10994-1965

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055641-1
NY

Other

Enumeration date
04/05/2012
Last updated
04/05/2012
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