Anzhela Tkachuk DDS

NPI 1023008786 - Dentist - 1223G0001X

NPI Details
NPI 1023008786
Gender Female
Enumeration Date 10/25/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
128 SAND LN
1ST FLOOR
STATEN ISLAND NY, 10305-4543, US
Phone (718) 273-5006
Fax (718) 273-2778
Business Location
128 SAND LN
1ST FLOOR
STATEN ISLAND NY, 10305-4543, US
Phone (718) 273-5006
Fax (718) 273-2778
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 050679
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According to our database, Anzhela Tkachuk DDS NPI is 1023008786, taxonomy code is 1223G0001X and license number is 050679, license state is located at New York. Anzhela Tkachuk DDS physically located at 128 Sand Ln, Staten Island NY, 10305-4543. NPI Number Anzhela Tkachuk DDS has the Individual type.

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1023008786 NPI number is provided on an as is basis without warranty of any kind. 1023008786 is maintained by the National Plan & Provider Enumeration System. The contents of Anzhela Tkachuk DDS are for informational purposes only.