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1134621287
LIZA IDELCHIK
STATEN ISLAND, NY
NPI
1134621287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NY 061273)
Enumeration Date
2018-03-05
Last Update Date
2020-12-28
Business Address
Mrs. LIZA IDELCHIK DDS
145 LIPSETT AVE
STATEN ISLAND, NY 10312-4824
Phone number: 646-354-0577
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Mailing Address
Mrs. LIZA IDELCHIK DDS
145 LIPSETT AVE
STATEN ISLAND, NY 10312-4824
Phone number: 646-354-0577
Copy
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