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1720266380
IRINA FUZAYLOVA
BROOKLYN, NY
NPI
1720266380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 052818)
Enumeration Date
2008-02-06
Last Update Date
2009-08-24
Business Address
-- IRINA FUZAYLOVA dds
120 NASSAU AVE
BROOKLYN, NY 11222-4024
Phone number: 718-490-2846
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Mailing Address
-- IRINA FUZAYLOVA dds
6909 138TH ST APT#2C
FLUSHING, NY 11367-1603
Phone number: 718-490-2846
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