Individual
BORIS KAYLAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9825 64TH RD APT 7G, REGO PARK, NY 11374-3402
(917) 743-5317
Mailing address
9825 64TH RD APT 7G, REGO PARK, NY 11374-3402
(917) 743-5317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058862
NY
Other
Enumeration date
07/28/2015
Last updated
04/25/2017
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