Organization
IGOR DEKHKANOV DDS PC
Active
Other names
Williamsburg Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR DEKHKANOV DDS (DENTIST)
(718) 349-5912
Entity
Organization
Contact information
Practice address
438 GRAHAM AVE FL 1, BROOKLYN, NY 11211-1415
(347) 822-9027
Mailing address
438 GRAHAM AVE FL 1, BROOKLYN, NY 11211-1415
(347) 822-9027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144652769
NPI
NY
Enumeration date
06/19/2020
Last updated
06/19/2020
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