Individual
ANNA KUPCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7 SECORA RD, APT. H-2, MONSEY, NY 10952-3742
(213) 479-9547
Mailing address
7 SECORA RD, APT. H-2, MONSEY, NY 10952-3742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10204
CT
1223G0001X
General Practice Dentistry
58510
CA
Other
Enumeration date
08/20/2009
Last updated
03/09/2010
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