Organization
ALEXANDER D. BORUKHOV, DMD, P.C.
Active
Other names
Dynasty Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER BORUKHOV D.M.D. (OWNER)
(718) 830-6263
Entity
Organization
Contact information
Practice address
10857 64TH AVE STE 1, FOREST HILLS, NY 11375-1442
(718) 830-6263
Mailing address
10857 64TH AVE STE 1, FOREST HILLS, NY 11375-1442
(718) 830-6263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048512
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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