MARK I KHAIMOV

NUTLEY, NJ
NPI1477614162
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NJ  2249201)
Enumeration Date2006-12-13
Last Update Date2016-07-18
Business Address
Dr. MARK I KHAIMOV DDS
180 CENTRE ST
NUTLEY, NJ 07110-2828
Phone number: 973-798-2639
Mailing Address
Dr. MARK I KHAIMOV DDS
180 CENTRE ST
NUTLEY, NJ 07110-2828
Phone number: 973-798-2639