Individual
MARINA KANDKHOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6440 99TH ST APT 3D, REGO PARK, NY 11374-3551
(718) 812-4986
Mailing address
6440 99TH ST APT 3D, REGO PARK, NY 11374-3551
(718) 812-4986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057465
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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