Individual
TAHINA MUKIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 MAPLE AVE, SARATOGA SPRINGS, NY 12866-5507
(518) 587-7512
Mailing address
2444 ELLSWORTH BLVD, BALLSTON SPA, NY 12020-3352
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
964878
NY
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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