SAMANTHA THERESA KUPCHAK

JAMAICA, NY
NPI1114500303
Former NameSAMANTHA THERESA CALDERON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NJ  22DI03042900)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-04
Last Update Date2024-08-05
Business Address
SAMANTHA THERESA KUPCHAK
8900 VAN WYCK EXPY
JAMAICA, NY 11418-2832
Phone number: 718-206-6980
Mailing Address
SAMANTHA THERESA KUPCHAK
8900 VAN WYCK EXPY
JAMAICA, NY 11418-2832
Phone number: