Individual
MS. ANNA ZHIVULKO-KHAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
24026 70TH AVE, DOUGLASTON, NY 11362-1948
(718) 428-4926
Mailing address
3550 81ST ST, SUITE 1G, JACKSON HEIGHTS, NY 11372-5068
(718) 565-2461
(718) 565-3153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00861734
—
NY
Enumeration date
02/15/2007
Last updated
07/08/2007
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