ROBERT FATAKHOV

ASTORIA, NY
NPI1538494109
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  054434)
Enumeration Date2009-10-15
Last Update Date2009-10-15
Business Address
Dr. ROBERT FATAKHOV DDS
3118 STEINWAY ST
ASTORIA, NY 11103-3909
Phone number: 718-728-7812
Mailing Address
Dr. ROBERT FATAKHOV DDS
9936 62ND DR
REGO PARK, NY 11374-1938
Phone number: 917-291-4232