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Individual

DR. ADAM WOJTASIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6129 81ST ST, MIDDLE VILLAGE, NY 11379-1403
(347) 255-3630
Mailing address
6129 81ST ST, MIDDLE VILLAGE, NY 11379-1403
(347) 255-3630

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
P58617
NY
1223G0001X
General Practice Dentistry
Primary
054205
NY

Other

Enumeration date
07/12/2007
Last updated
07/29/2009
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