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General NPI Number Information
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NPI Number | 1023616067
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Entity Type | Organization
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Legal Business Name | GENTLE TOUCH DENTAL, P.C.
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 50 PARK AVE STE 1G
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City | NEW YORK
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State | NY
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Zip | 10016-3075
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Country | US
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Telephone | 646-344-5190
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Fax |
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Provider Business Mailing Address
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Address Line | 6062 69TH PL
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City | MASPETH
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State | NY
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Zip | 11378-2942
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Country | US
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Telephone | 646-344-5190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MONIKA KURZATKOWSKI
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Credential | DMD
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Telephone | 646-344-5190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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