Vlada Matytsin D.D.S

NPI 1003964339 - Dentist - 1223G0001X

NPI Details
NPI 1003964339
Gender Female
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3150 140TH ST APT 1P
FLUSHING NY, 11354-2129, US
Phone (718) 886-0055
Fax (718) 886-0093
Business Location
3150 140TH ST APT 1P
FLUSHING NY, 11354-2129, US
Phone (718) 886-0055
Fax (718) 886-0093
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 051337
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According to our database, Dr. Vlada Matytsin D.D.S NPI is 1003964339, taxonomy code is 1223G0001X and license number is 051337, license state is located at New York. Vlada Matytsin D.D.S physically located at 3150 140th St Apt 1p, Flushing NY, 11354-2129. NPI Number Vlada Matytsin D.D.S has the Individual type.

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1003964339 NPI number is provided on an as is basis without warranty of any kind. 1003964339 is maintained by the National Plan & Provider Enumeration System. The contents of Vlada Matytsin D.D.S are for informational purposes only.