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Organization
R & I DENTAL, PLLC
Active
Organization
R & I DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ILYAYEV D.D.S. (OWNER)
(718) 323-9999
Entity
Organization
Contact information
Practice address
9302 101ST AVE, OZONE PARK, NY 11416-2308
(718) 323-9999
(718) 323-1076
Mailing address
9302 101ST AVE, OZONE PARK, NY 11416-2308
(718) 323-9999
(718) 323-1076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02379431
—
NY
Enumeration date
11/04/2008
Last updated
11/04/2008
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