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1710067129
YEFIM KHANIMOV
SPRING VALLEY, NY
NPI
1710067129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 0518741)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. YEFIM KHANIMOV DDS
375 W ROUTE 59 WHITE HOUSE DENTAL
SPRING VALLEY, NY 10977-5360
Phone number: 845-356-3353
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Mailing Address
Mr. YEFIM KHANIMOV DDS
15015 79TH AVE
FLUSHING, NY 11367-3945
Phone number: 917-604-6925
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