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1396954848
ISAAC DATIKASHVILI
NEW YORK, NY
NPI
1396954848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 052620)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. ISAAC DATIKASHVILI DMD
130 E 63RD ST OFC 1A
NEW YORK, NY 10021-7334
Phone number: 212-486-9458
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Mailing Address
Dr. ISAAC DATIKASHVILI DMD
130 E 63RD ST OFC 1A
NEW YORK, NY 10021-7334
Phone number: 212-486-9458
Copy
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