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1295169472
RAFAEL BORUCHOV
FOREST HILLS, NY
NPI
1295169472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 50056907)
Enumeration Date
2013-08-24
Last Update Date
2024-12-04
Business Address
Dr. RAFAEL BORUCHOV DDS
11620 QUEENS BLVD
FOREST HILLS, NY 11375-7055
Phone number: 718-507-7781
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Mailing Address
Dr. RAFAEL BORUCHOV DDS
11620 QUEENS BLVD
FOREST HILLS, NY 11375-7055
Phone number: 718-507-7781
Copy
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