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1083629778
CHARLES JOHN PTAK
BROOKLYN, NY
NPI
1083629778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY 034744)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
Dr. CHARLES JOHN PTAK D.D.S.
92 NORMAN AVE
BROOKLYN, NY 11222-2934
Phone number: 718-383-5551
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Mailing Address
Dr. CHARLES JOHN PTAK D.D.S.
92 NORMAN AVE
BROOKLYN, NY 11222-2934
Phone number: 718-383-5551
Copy
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