Individual
DANIEL AVEZOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11956 METROPOLITAN AVE, KEW GARDENS, NY 11415-2606
(718) 441-2291
Mailing address
DANIEL AVEZOFF, 6145 98TH STREET 11G, REGO PARK, NY 11374
(646) 400-8781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061756
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2019
Last updated
08/16/2021
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