Ilya Yagudayev DDS

NPI 1063402774 - Dentist - 1223G0001X

NPI Details
NPI 1063402774
Gender Male
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6511 108TH ST
OFFICE A
FOREST HILLS NY, 11375-1854, US
Phone (718) 997-1954
Fax
Business Location
18 KEW GARDENS RD
KEW GARDENS NY, 11415-1104, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 046209
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According to our database, Dr. Ilya Yagudayev DDS NPI is 1063402774, taxonomy code is 1223G0001X and license number is 046209, license state is located at New York. Ilya Yagudayev DDS physically located at 6511 108th St, Forest Hills NY, 11375-1854. NPI Number Ilya Yagudayev DDS has the Individual type.

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1063402774 NPI number is provided on an as is basis without warranty of any kind. 1063402774 is maintained by the National Plan & Provider Enumeration System. The contents of Ilya Yagudayev DDS are for informational purposes only.