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1396961546
KATHERINE MANTZIKOS
FRESH MEADOWS, NY
NPI
1396961546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NY 050197)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. KATHERINE MANTZIKOS DMD
5031 194TH ST
FRESH MEADOWS, NY 11365-1238
Phone number: 917-833-0295
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Mailing Address
Dr. KATHERINE MANTZIKOS DMD
5031 194TH ST
FRESH MEADOWS, NY 11365-1238
Phone number: 917-833-0295
Copy
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