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Individual

DR. IGOR IGDALEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
1625 ANDERSON AVE STE 202, FORT LEE, NJ 07024-2748
(201) 224-9444
Mailing address
18 W BAYVIEW AVE, ENGLEWOOD CLIFFS, NJ 07632-1401
(201) 218-9858

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02604300
NJ

Other

Enumeration date
07/08/2015
Last updated
07/08/2015
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