Individual
WILLIAM KOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18947 JOHN J WILLIAMS HWY UNIT 309, REHOBOTH BEACH, DE 19971-4477
(302) 644-4460
(302) 644-4470
Mailing address
26910 GRAND CENTRAL PKWY APT 28S, FLORAL PARK, NY 11005-1028
(516) 567-6332
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060006
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2017
Last updated
04/27/2022
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