Anzhela Tkachuk, DDS
NPI #1023008786 in Staten Island, New York
Provider Information
- NPI Number
- 1023008786
- Entity Type
- Individual
- Name
- Anzhela Tkachuk, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 25, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 128 SAND LN
- Address 2
- 1ST FLOOR
- City
- Staten Island
- State
- New York
- ZIP Code
- 10305-4543
- Phone
- (718) 273-5006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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