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1699817379
VIKTORIYA FATAKHOVA
JAMAICA, NY
NPI
1699817379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 051345)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. VIKTORIYA FATAKHOVA dds
16915 JAMAICA AVE
JAMAICA, NY 11432-5217
Phone number: 718-523-0401
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Mailing Address
Dr. VIKTORIYA FATAKHOVA dds
16915 JAMAICA AVE
JAMAICA, NY 11432-5217
Phone number: 718-523-0401
Copy
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