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Roger Kitzis, DDS Valid NPI

Individual provider · Periodontics · Woodbury, NY

NPI
1558469718
Type
Individual (Type 1)
Primary specialty
Periodontics (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223P0300X
License number
0401451 (NY)
Sex
Male
Sole proprietor
No
Enumerated
2006-09-20
Last updated
2007-07-08
Practice location
156 Plainview Rd
Woodbury, NY 11797
(516) 692-7766

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