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Organization
RAFAEL ISAKHAROV DDS PC
Active
Organization
RAFAEL ISAKHAROV DDS PC
Active
Other names
Elite Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ISAKHAROV (OWNER)
(347) 341-9863
Entity
Organization
Contact information
Practice address
9819 64TH AVE APT 1H, REGO PARK, NY 11374-2525
(718) 897-9745
(646) 889-2823
Mailing address
9819 64TH AVE APT 1H, REGO PARK, NY 11374-2525
(718) 897-9745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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