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Individual
DR. PETER FRANCIS INDZONKA
Active
Individual
DR. PETER FRANCIS INDZONKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040234-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01083132
—
NY
Enumeration date
10/18/2005
Last updated
09/13/2010
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