Individual
MRS. BELLA NORMATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6514 108TH ST, FOREST HILLS, NY 11375-1856
(718) 997-8400
(718) 997-6024
Mailing address
6514 108TH ST, FOREST HILLS, NY 11375-1856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346047
—
NY
05
—
04794496
—
NY
05
—
05769053
—
NY
Enumeration date
08/30/2006
Last updated
08/11/2020
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