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1770014011
ALEKSANDER KHASIDOV
BRONX, NY
NPI
1770014011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS041975)
Enumeration Date
2017-03-27
Last Update Date
2018-10-02
Business Address
Dr. ALEKSANDER KHASIDOV D.D.S
1575 BLONDELL AVE STE 150
BRONX, NY 10461-2661
Phone number: 888-700-6623
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Mailing Address
Dr. ALEKSANDER KHASIDOV D.D.S
11150 76TH RD
FOREST HILLS, NY 11375-6454
Phone number: 917-349-3272
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