Organization
BENJAMIN V KATAYEV DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN V KATAYEV DDS (OWNER)
(718) 379-1700
Entity
Organization
Contact information
Practice address
1401 DEKRUIF PLACE, BRONX, NY 10475-2201
(718) 379-1700
(718) 379-8921
Mailing address
1401 DEKRUIP PLACE, BRONX, NY 10475-2201
(718) 379-1700
(718) 379-8921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0477111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01896900
—
NY
Enumeration date
12/18/2006
Last updated
02/12/2013
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