Individual
DR. IGOR ROBENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6537 110TH ST, FOREST HILLS, NY 11375-1844
(718) 664-0564
Mailing address
6537 110TH ST, FOREST HILLS, NY 11375-1844
(718) 664-0564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054485
NY
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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