Individual
DR. ADAM KLECZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6112 69TH ST, SUITE P 1, MIDDLE VILLAGE, NY 11379-1142
(718) 456-8574
(718) 456-8575
Mailing address
6112 69TH ST, SUITE P 1, MIDDLE VILLAGE, NY 11379-1142
(718) 456-8574
(718) 456-8575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048397-1
NY
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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