Individual
BORIS TEMKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
97-12 63 RD DRIVE, NEW YORK, NY 10036
(212) 869-3131
Mailing address
97-12 63 RD DRIVE, REGO PARK, NY 11374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273251
—
NY
Enumeration date
12/14/2007
Last updated
12/14/2007
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