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Individual

DR. IGOR KHABENSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1615 QUENTIN RD STE A1, BROOKLYN, NY 11229-1295
(917) 846-5304
Mailing address
2426 E 27TH ST, BROOKLYN, NY 11235-2004
(917) 846-5305

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058143
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/18/2014
Last updated
08/13/2015
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