Individual
DR. ARIELA MULLUKANDOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9424 63RD DR, REGO PARK, NY 11374-2028
(718) 997-7762
Mailing address
6625 103RD ST APT 3L, FOREST HILLS, NY 11375-2023
(917) 538-3432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063219
NY
Other
Enumeration date
05/16/2022
Last updated
06/02/2024
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