Individual
DR. ANDREY ILYABAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3530 FRANCIS LEWIS BLVD, GENTLE DEANTAL, 2ND FLOOR, FLUSHING, NY 11358-1931
(718) 461-0100
Mailing address
3530 FRANCIS LEWIS BLVD, GENTLE DEANTAL, 2ND FLOOR, FLUSHING, NY 11358-1931
(718) 461-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050628-1
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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