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Individual

DR. IOSIF UVAYDOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2101 KINGS HWY, BROOKLYN, NY 11229-1509
(718) 951-2261
(718) 951-2018
Mailing address
2101 KINGS HWY, BROOKLYN, NY 11229-1509
(718) 951-2261
(718) 951-2018

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044283
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01380978
NY
Enumeration date
08/23/2005
Last updated
04/20/2012
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