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Individual

DANIEL NASIMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6767 BURNS ST APT 2K, FOREST HILLS, NY 11375-3503
(718) 704-3908
Mailing address
6767 BURNS ST APT 2K, FOREST HILLS, NY 11375-3503
(718) 704-3908

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290236783
NY

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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