Individual
MICHAEL KHANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING #5, 3RD FLOOR, BRONX, NY 10461-1138
(718) 918-3419
Mailing address
105 BENNETT AVE # 115, APT.51B, NEW YORK, NY 10033-2335
(646) 410-0328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009848
CT
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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