MICHAEL M ILYASOV

SMITHTOWN, NY
NPI1477244564
Other NameMICHAEL M ILYASOV
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  064310)
Enumeration Date2023-05-18
Last Update Date2024-10-06
Business Address
Dr. MICHAEL M ILYASOV
823 W JERICHO TPKE
SMITHTOWN, NY 11787-3216
Phone number: 631-543-0550
Mailing Address
Dr. MICHAEL M ILYASOV
823 W JERICHO TPKE
SMITHTOWN, NY 11787-3216
Phone number: