Individual
DR. MARIYA MAMKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5647 MYRTLE AVE, RIDGEWOOD, NY 11385-4744
(718) 417-6300
(718) 417-3535
Mailing address
5647 MYRTLE AVE, RIDGEWOOD, NY 11385-4744
(718) 417-6300
(718) 417-3535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50-054039
NY
Other
Enumeration date
08/05/2008
Last updated
03/12/2013
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