Individual
ALLA TEMKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
97-12 63RD DRIVE SUITE 1C, REGO PARK, NY 11374
(718) 275-3311
Mailing address
97-12 63RD DRIVE SUITE 1C, REGO PARK, NY 11374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01470740
—
NY
Enumeration date
12/14/2007
Last updated
12/14/2007
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