| NPI Details | |
|---|---|
| NPI | 1891776092 |
| Gender | Male |
| Enumeration Date | 11/07/2005 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 9015 QUEENS BLVD ELMHURST NY, 11373-4900, US |
|
| Phone | (718) 760-1616 |
| Fax | (718) 760-9647 |
| Business Location | |
|---|---|
| 9015 QUEENS BLVD ELMHURST NY, 11373-4900, US |
|
| Phone | (718) 760-1616 |
| Fax | (718) 760-9647 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | New York |
| License Number | 041796-1 |
| Remove 1891776092 NPI Number | |
According to our database, Alexander Mikhailov D.D.S NPI is 1891776092, taxonomy code is 1223G0001X and license number is 041796-1, license state is located at New York. Alexander Mikhailov D.D.S physically located at 9015 Queens Blvd, Elmhurst NY, 11373-4900. NPI Number Alexander Mikhailov D.D.S has the Individual type.
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1891776092 NPI number is provided on an as is basis without warranty of any kind. 1891776092 is maintained by the National Plan & Provider Enumeration System. The contents of Alexander Mikhailov D.D.S are for informational purposes only.
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