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1265516454
PETER M BARACKS
MEDFORD, NY
NPI
1265516454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 034681)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- PETER M BARACKS dds
2148 ROUTE 112
MEDFORD, NY 11763-3646
Phone number: 631-758-7370
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Mailing Address
-- PETER M BARACKS dds
2148 ROUTE 112
MEDFORD, NY 11763-3646
Phone number: 631-758-7370
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