EZRO FATTAKHOV

FOREST HILLS, NY
NPI1811046741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  046846)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
Dr. EZRO FATTAKHOV DDS
10510 62ND RD APT 1F
FOREST HILLS, NY 11375-1137
Phone number: 718-760-8400
Mailing Address
Dr. EZRO FATTAKHOV DDS
9926 64TH RD
REGO PARK, NY 11374-2646
Phone number: 718-830-9091
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