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Organization
RA DENTAL CARE PC
Active
Organization
RA DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN L AKILOV DDS (PRESIDENT)
(917) 533-0043
Entity
Organization
Contact information
Practice address
7002 FOREST AVE APT 1L, RIDGEWOOD, NY 11385-5620
(718) 821-4128
Mailing address
7002 FOREST AVE APT 1L, RIDGEWOOD, NY 11385-5620
(718) 821-4128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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