Individual
DOROTA M KWAPISIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6007 MYRTLE AVE, RIDGEWOOD, NY 11385-5933
(718) 456-2727
(718) 456-2728
Mailing address
6007 MYRTLE AVE, RIDGEWOOD, NY 11385-5933
(718) 456-2727
(718) 456-2728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048350
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052582
—
NY
Enumeration date
04/29/2006
Last updated
01/19/2010
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