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Individual

DR. DAVID TABAROKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
102 10 QUEENS BLVD, FOREST HILLS, NY 11375-4722
(718) 544-4440
(718) 233-2723
Mailing address
102 10 QUEENS BLVD, FOREST HILLS, NY 11375-4722
(718) 544-4440
(718) 233-2723

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047690
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02374876
NY
Enumeration date
11/16/2006
Last updated
07/16/2010
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