Individual
DMITRY DAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
97-12 63 DRIVE, UNIT CB, REGO PARK, NY 11374
(718) 896-8700
(718) 896-0566
Mailing address
97-12 63 DRIVE, UNIT CB, REGO PARK, NY 11374
(718) 896-8700
(718) 896-0566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02110103
—
NY
Enumeration date
09/14/2006
Last updated
07/08/2007
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