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1477614162
MARK I KHAIMOV
NUTLEY, NJ
NPI
1477614162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NJ 2249201)
Enumeration Date
2006-12-13
Last Update Date
2016-07-18
Business Address
Dr. MARK I KHAIMOV DDS
180 CENTRE ST
NUTLEY, NJ 07110-2828
Phone number: 973-798-2639
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Mailing Address
Dr. MARK I KHAIMOV DDS
180 CENTRE ST
NUTLEY, NJ 07110-2828
Phone number: 973-798-2639
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