Mark I Khaimov

NPI 1477614162 - Dentist - 1223P0300X

NPI Details
NPI 1477614162
Gender Male
Enumeration Date 12/13/2006
Last Updated 09/18/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
332 WINTHROP DR
NUTLEY NJ, 07110-3932, US
Phone (973) 320-8631
Fax
Business Location
332 WINTHROP DR
NUTLEY NJ, 07110-3932, US
Phone (973) 320-8631
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State New Jersey
License Number 2249201
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According to our database, Dr. Mark I Khaimov NPI is 1477614162, taxonomy code is 1223P0300X and license number is 2249201, license state is located at New Jersey. Mark I Khaimov physically located at 332 Winthrop Dr, Nutley NJ, 07110-3932. NPI Number Mark I Khaimov has the Individual type.

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1477614162 NPI number is provided on an as is basis without warranty of any kind. 1477614162 is maintained by the National Plan & Provider Enumeration System. The contents of Mark I Khaimov are for informational purposes only.