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1477530079
KENNETH WAGSCHAL
JAMAICA, NY
NPI
1477530079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 035430)
Enumeration Date
2005-12-27
Last Update Date
2007-07-08
Business Address
-- KENNETH WAGSCHAL DDS
11818 ROCKAWAY BLVD
JAMAICA, NY 11420-2420
Phone number: 718-843-5231
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Mailing Address
-- KENNETH WAGSCHAL DDS
1770 E 21ST ST
BROOKLYN, NY 11229-1515
Phone number: 718-710-2247
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