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1598977514
ROMAN KHODOSH
WEST NEW YORK, NJ
NPI
1598977514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02185500)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- ROMAN KHODOSH DDS
5918 BERGENLINE AVE SUITE 200
WEST NEW YORK, NJ 07093-1392
Phone number: 201-681-6555
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Mailing Address
-- ROMAN KHODOSH DDS
5918 BERGENLINE AVE SUITE 200
WEST NEW YORK, NJ 07093-1392
Phone number: 201-681-6555
Copy
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