Individual
MRS. ALLA A KANDKHOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MADISON AVE, SUITE 2201, NEW YORK, NY 10016-3903
(212) 683-2530
Mailing address
10212 63RD RD, FOREST HILLS, NY 11375-1049
(718) 830-0874
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023066
NY
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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