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1083706832
PIERRE KHANSCHASSOFF
STONY BROOK, NY
NPI
1083706832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 41825)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. PIERRE KHANSCHASSOFF DDS
111 MANCHESTER LN
STONY BROOK, NY 11790-2847
Phone number: 631-689-8570
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Mailing Address
Dr. PIERRE KHANSCHASSOFF DDS
111 MANCHESTER LN
STONY BROOK, NY 11790-2847
Phone number: 631-689-8570
Copy
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