Individual
YAKOV YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 CEDAR LN, TEANECK, NJ 07666-3442
(201) 692-7737
Mailing address
315 CEDAR LN, TEANECK, NJ 07666-3442
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02667300
NJ
Other
Enumeration date
03/07/2016
Last updated
07/04/2022
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