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1225234263
PHILIP EDWARD OTTERBECK
STATEN ISLAND, NY
NPI
1225234263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY NY35259)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Dr. PHILIP EDWARD OTTERBECK DDS
4787 HYLAN BLVD
STATEN ISLAND, NY 10312
Phone number: 718-605-7086
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Mailing Address
Dr. PHILIP EDWARD OTTERBECK DDS
4787 HYLAN BLVD
STATEN ISLAND, NY 10312
Phone number: 718-605-7086
Copy
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