Pierre Khanschassoff DDS

NPI 1083706832 - Dentist - 1223G0001X

NPI Details
NPI 1083706832
Gender Male
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
111 MANCHESTER LN
STONY BROOK NY, 11790-2847, US
Phone (631) 689-8570
Fax (631) 689-8583
Business Location
111 MANCHESTER LN
STONY BROOK NY, 11790-2847, US
Phone (631) 689-8570
Fax (631) 689-8583
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 41825
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According to our database, Dr. Pierre Khanschassoff DDS NPI is 1083706832, taxonomy code is 1223G0001X and license number is 41825, license state is located at New York. Pierre Khanschassoff DDS physically located at 111 Manchester Ln, Stony Brook NY, 11790-2847. NPI Number Pierre Khanschassoff DDS has the Individual type.

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1083706832 NPI number is provided on an as is basis without warranty of any kind. 1083706832 is maintained by the National Plan & Provider Enumeration System. The contents of Pierre Khanschassoff DDS are for informational purposes only.