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Individual

DR. BETH MICHELLE KULICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
471 3RD AVE, NEW YORK, NY 10016-6021
(212) 725-7017
(212) 213-1170
Mailing address
471 3RD AVE, NEW YORK, NY 10016-6021
(212) 725-7017
(212) 213-1170

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051252
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02637387
NY
Enumeration date
03/23/2006
Last updated
07/08/2007
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