REVAZ BERIDZE

FOREST HILLS, NY
NPI1073642823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  046224-1)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- REVAZ BERIDZE dds
10440 QUEENS BLVD #1Y
FOREST HILLS, NY 11375-3658
Phone number: 718-459-3159
Mailing Address
-- REVAZ BERIDZE dds
10440 QUEENS BLVD #1Y
FOREST HILLS, NY 11375-3658
Phone number: 718-459-3159
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