Yakov Khaydatov DMD

NPI 1023249448 - Dentist - 122300000X

NPI Details
NPI 1023249448
Gender Male
Enumeration Date 08/03/2009
Last Updated 12/03/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
5225 N 19TH AVE
SUITE C
PHOENIX AZ, 85015-2903, US
Phone (602) 433-0313
Fax
Business Location
110 E JOAN D ARC AVE
PHOENIX AZ, 85022-4705, US
Phone (602) 367-8456
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 7845
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According to our database, Dr. Yakov Khaydatov DMD NPI is 1023249448, taxonomy code is 122300000X and license number is 7845, license state is located at Arizona. Yakov Khaydatov DMD physically located at 5225 N 19th Ave, Phoenix AZ, 85015-2903. NPI Number Yakov Khaydatov DMD has the Individual type.

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1023249448 NPI number is provided on an as is basis without warranty of any kind. 1023249448 is maintained by the National Plan & Provider Enumeration System. The contents of Yakov Khaydatov DMD are for informational purposes only.