Individual
DR. MISHEL YOSHOBAIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
385 PROSPECT AVE STE 304, HACKENSACK, NJ 07601-2570
(917) 400-0930
Mailing address
10218 64TH AVE APT 5S, FOREST HILLS, NY 11375-1565
(917) 400-0930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062845-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/15/2021
Last updated
10/28/2022
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