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1740321181
IOSIF AVEZBADALOV
REGO PARK, NY
NPI
1740321181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 050720)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Mr. IOSIF AVEZBADALOV DDS
6384 SAUNDERS ST
REGO PARK, NY 11374
Phone number: 718-997-7762
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Mailing Address
Mr. IOSIF AVEZBADALOV DDS
6411 99TH ST #110
REGO PARK, NY 11374
Phone number: 718-997-0095
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