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1821147372
RUBEN FATTAKHOV
FOREST HILLS, NY
NPI
1821147372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NY 046847)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
DR. RUBEN FATTAKHOV DDS
105-10 62 RD APT 1F
FOREST HILLS, NY 11375
Phone number: 718-760-8400
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Mailing Address
DR. RUBEN FATTAKHOV DDS
6282 SAUNDERS ST APT 5I
REGO PARK, NY 11374-1554
Phone number: 718-459-0915
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