Individual
DR. DMITRY NIKITAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
Mailing address
133 BASSETT AVENUE, BROOKLYN, NY 11234-6734
(718) 209-5949
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055734-1
NY
Other
Enumeration date
08/30/2011
Last updated
08/08/2014
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