Individual
DR. DIANA KOPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
192 JERICHO TPKE, MINEOLA, NY 11501-1723
(516) 441-2214
Mailing address
1621 NELSON CT, HEWLETT, NY 11557-1724
(917) 363-0888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50057499
NY
1223G0001X
General Practice Dentistry
Primary
50057499
NY
Other
Enumeration date
08/12/2014
Last updated
02/27/2023
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