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Individual

DMITRY KHAYTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
587 KINGS HWY STE B, BROOKLYN, NY 11223-2023
(718) 400-1717
(718) 421-9364
Mailing address
587 KINGS HWY STE B, BROOKLYN, NY 11223-2023
(718) 400-1717
(718) 421-9364

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0490651
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02144874
NY
Enumeration date
01/04/2007
Last updated
04/09/2026
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