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1013010529
ALEXANDER YERMOLENKO
HILLSIDE, NJ
NPI
1013010529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22D101983800)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Mr. ALEXANDER YERMOLENKO DDS
1219 LIBERTY AVE
HILLSIDE, NJ 07205
Phone number: 908-352-2207
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Mailing Address
Mr. ALEXANDER YERMOLENKO DDS
1219 LIBERTY AVE
HILLSIDE, NJ 07205
Phone number: 908-352-2207
Copy
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