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NPI Code Detail

MEDICARE: KAMILA SZCZEPANIEC D.D.S.

MEDICARE:   KAMILA  SZCZEPANIEC  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry58775CA
21223G0001XGeneral Practice Dentistry054544NY

General Provider Information

NPI Number : 1669700654
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMILA SZCZEPANIEC D.D.S.
Provider Business Mailing Address
First Line : 120 NASSAU AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-4024
Country : US
Telephone Number : 718-389-8889
Fax Number :
Provider Business Practice Location Address
First Line : 120 NASSAU AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-4024
Country : US
Telephone Number : 718-389-8889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 04/25/2010

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Directions to “ KAMILA SZCZEPANIEC D.D.S.” Practice Location

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