Individual
JANETTA BASALILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6836 108TH ST APT A14, FOREST HILLS, NY 11375-3348
(347) 439-7770
Mailing address
6836 108TH ST APT A14, FOREST HILLS, NY 11375-3348
(347) 439-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064862
NY
Other
Enumeration date
07/04/2023
Last updated
12/30/2025
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