Yuriy Fatakhov DDS

NPI 1023140407 - Dentist - 122300000X

NPI Details
NPI 1023140407
Gender Male
Enumeration Date 03/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10333 QUEENS BLVD
FOREST HILLS NY, 11375-3448, US
Phone (718) 897-6300
Fax (718) 897-5558
Business Location
10333 QUEENS BLVD
FOREST HILLS NY, 11375-3448, US
Phone (718) 897-6300
Fax (718) 897-5558
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 050629
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According to our database, Yuriy Fatakhov DDS NPI is 1023140407, taxonomy code is 122300000X and license number is 050629, license state is located at New York. Yuriy Fatakhov DDS physically located at 10333 Queens Blvd, Forest Hills NY, 11375-3448. NPI Number Yuriy Fatakhov DDS has the Individual type.

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1023140407 NPI number is provided on an as is basis without warranty of any kind. 1023140407 is maintained by the National Plan & Provider Enumeration System. The contents of Yuriy Fatakhov DDS are for informational purposes only.