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1023008786
ANZHELA TKACHUK
STATEN ISLAND, NY
NPI
1023008786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 050679)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
-- ANZHELA TKACHUK DDS
128 SAND LN 1ST FLOOR
STATEN ISLAND, NY 10305-4543
Phone number: 718-273-5006
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Mailing Address
-- ANZHELA TKACHUK DDS
128 SAND LN 1ST FLOOR
STATEN ISLAND, NY 10305-4543
Phone number: 718-273-5006
Copy
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