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Individual

DR. NABIL OUATIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MSC

Contact information

Practice address
3905 61ST ST FL 2, WOODSIDE, NY 11377-3566
(718) 388-5566
(718) 247-5727
Mailing address
102 W SERVICE RD, A238, CHAMPLAIN, NY 12919-4440
(514) 293-1270

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056441
NY
1223P0221X
Pediatric Dentistry
30-022842
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03544043
NY
Enumeration date
08/28/2008
Last updated
02/12/2025
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