Alexander Tregubov DDS

NPI 1164629986 - Dentist - 122300000X

NPI Details
NPI 1164629986
Gender Male
Enumeration Date 06/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
115 BRIGHTWATER CT STE 1G
BROOKLYN NY, 11235-7629, US
Phone (718) 648-2636
Fax
Business Location
35 SEACOAST TER APT 20N
BROOKLYN NY, 11235-6005, US
Phone (718) 646-1375
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 044128
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According to our database, Alexander Tregubov DDS NPI is 1164629986, taxonomy code is 122300000X and license number is 044128, license state is located at New York. Alexander Tregubov DDS physically located at 115 Brightwater Ct Ste 1g, Brooklyn NY, 11235-7629. NPI Number Alexander Tregubov DDS has the Individual type.

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1164629986 NPI number is provided on an as is basis without warranty of any kind. 1164629986 is maintained by the National Plan & Provider Enumeration System. The contents of Alexander Tregubov DDS are for informational purposes only.