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Individual

DR. KAMBIZ ERFANIAN-TAHERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7009 AUSTIN ST, SUITE# 201, FOREST HILLS, NY 11375-4700
(718) 793-5347
(718) 793-5352
Mailing address
29 BARSTOW RD, STE 301, GREAT NECK, NY 11021-2209
(516) 466-4663

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043011
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01418868
NY
Enumeration date
10/20/2005
Last updated
02/28/2016
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