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Individual
DR. NICOLE M PTAK-YENCHMAN
Active
Individual
DR. NICOLE M PTAK-YENCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0552731
NY
Other
Enumeration date
07/23/2009
Last updated
05/06/2015
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