YURIY FATAKHOV

FOREST HILLS, NY
NPI1023140407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  050629)
Enumeration Date2007-03-11
Last Update Date2007-07-08
Business Address
-- YURIY FATAKHOV DDS
10333 QUEENS BLVD
FOREST HILLS, NY 11375-3448
Phone number: 718-897-6300
Mailing Address
-- YURIY FATAKHOV DDS
10333 QUEENS BLVD
FOREST HILLS, NY 11375-3448
Phone number: 718-897-6300
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