Individual
DR. BENJAMIN VLAD KATAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1401 DEKRUIE PLACE, BRONX, NY 10475
(718) 379-1700
(718) 379-8921
Mailing address
1401 DEKRUIE PLACE, BRONX, NY 10475
(718) 379-1700
(718) 379-8921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0477111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01896900
—
NY
Enumeration date
08/11/2006
Last updated
07/08/2007
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