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1538494109
ROBERT FATAKHOV
ASTORIA, NY
NPI
1538494109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 054434)
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
Dr. ROBERT FATAKHOV DDS
3118 STEINWAY ST
ASTORIA, NY 11103-3909
Phone number: 718-728-7812
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Mailing Address
Dr. ROBERT FATAKHOV DDS
9936 62ND DR
REGO PARK, NY 11374-1938
Phone number: 917-291-4232
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