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1689972473
VICTORIA DENTAL PLLC
ASTORIA, NY
NPI
1689972473
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Entity Type
Organization
Authorized Contact
ROBERT FATAKHOV
Dentist/Member
917-291-4232
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 054434)
Enumeration Date
2011-03-03
Last Update Date
2011-03-03
Business Address
VICTORIA DENTAL PLLC
3118 STEINWAY ST
ASTORIA, NY 11103-3909
Phone number: 718-728-7812
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Mailing Address
VICTORIA DENTAL PLLC
9945 65TH RD
REGO PARK, NY 11374-3654
Phone number:
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