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Organization
NANUET MALL DENTAL, P.C.
Active
Organization
NANUET MALL DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA KHRAPKO DDS (GENERAL DENTIST)
(845) 624-7500
Entity
Organization
Contact information
Practice address
75 W ROUTE 59, SUITE# 1009A, NANUET, NY 10954-2700
(845) 624-7500
(845) 624-7505
Mailing address
75 W ROUTE 59, SUITE# 1009A, NANUET, NY 10954-2700
(845) 624-7500
(845) 624-7505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02550030
—
NY
Enumeration date
04/19/2007
Last updated
08/22/2020
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