Igor Dekhkanov DDS

NPI 1144652769 - Dentist - 122300000X

NPI Details
NPI 1144652769
Gender Male
Enumeration Date 08/06/2013
Last Updated 05/19/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
438 GRAHAM AVE
GROUND FL
BROOKLYN NY, 11211, US
Phone (718) 349-5912
Fax
Business Location
438 GRAHAM AVE
GROUND FL
BROOKLYN NY, 11211, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 056802
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According to our database, Dr. Igor Dekhkanov DDS NPI is 1144652769, taxonomy code is 122300000X and license number is 056802, license state is located at New York. Igor Dekhkanov DDS physically located at 438 Graham Ave, Brooklyn NY, 11211. NPI Number Igor Dekhkanov DDS has the Individual type.

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1144652769 NPI number is provided on an as is basis without warranty of any kind. 1144652769 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Dekhkanov DDS are for informational purposes only.