Organization
IGOR KLEBANOV DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR KLEBANOV (DDS)
(718) 234-9014
Entity
Organization
Contact information
Practice address
7913 BAY PKWY, #A-1, BROOKLYN, NY 11214-1959
(718) 234-9014
(718) 234-7771
Mailing address
7913 BAY PKWY, #A-1, BROOKLYN, NY 11214-1959
(718) 234-9014
(718) 234-7771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045540
NY
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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