Individual
DORIN YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2780 MERRICK RD, BELLMORE, NY 11710-5720
(516) 308-7646
Mailing address
2780 MERRICK RD, BELLMORE, NY 11710-5720
(516) 308-7646
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062774
NY
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
02/09/2021
Last updated
09/20/2022
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