Individual
DR. DMITRIY KUZNETSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
145 E 15TH ST APT 1E, NEW YORK, NY 10003-3532
(212) 475-7947
(212) 475-7952
Mailing address
145 E 15TH ST APT 1E, NEW YORK, NY 10003-3532
(212) 475-7947
(212) 475-7952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058145
NY
Other
Enumeration date
11/19/2014
Last updated
08/18/2015
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