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1780806224
ELVIRA YAKUBOV
REGO PARK, NY
NPI
1780806224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 048679-1)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- ELVIRA YAKUBOV DDS
6612 102ND ST APT 1E
REGO PARK, NY 11374-4524
Phone number: 718-997-6660
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Mailing Address
-- ELVIRA YAKUBOV DDS
6612 102STREET SUITE1E
REGO PARK, NY 11435
Phone number: 718-997-6660
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