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Organization
MASPETH DENTAL NE PC
Active
Organization
MASPETH DENTAL NE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAKOV ELIZEROV (DMD)
(718) 898-6050
Entity
Organization
Contact information
Practice address
5523 69TH ST, MASPETH, NY 11378-1806
(718) 898-6050
Mailing address
5523 69TH ST, MASPETH, NY 11378-1806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0555281
NY
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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