Individual
ALEKSEY NOVAKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 JEFFERSON AVE, ELIZABETH, NJ 07201-1203
(908) 353-5400
(908) 353-7273
Mailing address
14 WINFIELD SCOTT PLZ, ELIZABETH, NJ 07201-2443
(908) 353-5400
(908) 353-7273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02059900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020079
—
NJ
Enumeration date
10/21/2005
Last updated
07/08/2007
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