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Individual

MR. ROBERT J. LOPATKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
23-12 31 STREET, ASTORIA, NY 11105
(718) 278-0358
(718) 278-2908
Mailing address
23-12 31 STREET, ASTORIA, NY 11105
(718) 278-0358
(718) 278-2908

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
39158-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39158-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01069685
NY
Enumeration date
12/13/2006
Last updated
02/23/2010
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