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Individual
DR. SADRIDDIN NAIMOV
Active
Individual
DR. SADRIDDIN NAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056577
NY
122300000X
Dentist
Primary
D9368
OR
1223G0001X
General Practice Dentistry
D9368
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04595915
—
NY
01
—
056577
LICENSE
NY
05
—
500678241
—
OR
Enumeration date
12/21/2011
Last updated
01/28/2021
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