Organization
FAMILY DENTAL PC
Active
Other names
family dental pc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLF DDS AKILOV DDS (DENTIST)
(212) 304-1666
Entity
Organization
Contact information
Practice address
645 W 207TH ST, NEW YORK, NY 10034-2654
(212) 304-1666
(212) 304-1666
Mailing address
645 W 207TH ST, NEW YORK, NY 10034-2654
(212) 304-1666
(212) 304-1666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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