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Elzbieta Kopacz, DDS

Dentist in Maspeth, NY. Individual provider (NPI-1).

NPI number1346358918
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346358918
Entity type
Individual (NPI-1)
Name
Elzbieta Kopacz
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist047170NYNYYes

Practice location

6548 Grand Avenue
Maspeth, NY 11378

Phone 718-326-8982 · Fax 718-326-8983

Mailing address

6548 Grand Avenue
Maspeth, NY 11378

Phone 718-326-8982 · Fax 718-326-8983

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