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Individual

MRS. KATHLEEN PATRICIA VISOCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
420 SYLVAN PL, HAWORTH, NJ 07641-1730
(201) 384-6018
Mailing address
420 SYLVAN PL, HAWORTH, NJ 07641-1730
(201) 384-6018

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00768300
NJ

Other

Enumeration date
06/18/2020
Last updated
06/18/2020
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