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1760637672
YURIY YUSUPOV
BROOKLYN, NY
NPI
1760637672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY 052623)
Enumeration Date
2008-11-19
Last Update Date
2011-10-10
Business Address
-- YURIY YUSUPOV D.D.S., M.D.
7901 4TH AVE STE A3
BROOKLYN, NY 11209-3970
Phone number: 718-745-0400
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Mailing Address
-- YURIY YUSUPOV D.D.S., M.D.
7901 4TH AVE STE A3
BROOKLYN, NY 11209-3970
Phone number: 718-745-0400
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