Organization
AFAM FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FATAKHOV DDS (MEMBER)
(718) 485-4111
Entity
Organization
Contact information
Practice address
5205 CHURCH AVE, BROOKLYN, NY 11203-3513
(718) 485-4111
Mailing address
5205 CHURCH AVE, BROOKLYN, NY 11203-3513
(718) 485-4111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054434
NY
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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