Individual
DR. DANIEL ELLIOT ZVI FUZAYLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6504 ELLWELL CRES, REGO PARK, NY 11374-5032
(646) 575-0958
(718) 630-3244
Mailing address
6504 ELLWELL CRES, REGO PARK, NY 11374-5032
(646) 575-0958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062400
NY
Other
Enumeration date
10/27/2020
Last updated
07/12/2022
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