Individual
DR. GAIANA ISAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
590 NICOLLS RD, DEER PARK, NY 11729-3217
(631) 477-6777
(631) 477-6477
Mailing address
7 MAJESTIC DR, DIX HILLS, NY 11746-4857
(347) 879-2967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058690
NY
Other
Enumeration date
05/13/2015
Last updated
01/29/2020
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