Individual
MRS. MARINA TOLSTUNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7031 108TH ST, SUITE 6, FOREST HILLS, NY 11375-4450
(718) 268-8549
Mailing address
7031 108TH ST, SUITE 6, FOREST HILLS, NY 11375-4450
(718) 268-8549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353626
—
NY
Enumeration date
11/11/2007
Last updated
11/11/2007
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