Organization
AM DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARKADIY MURDUKHAYEV DDS (CEO)
(718) 316-7790
Entity
Organization
Contact information
Practice address
9123 QUEENS BLVD, ELMHURST, NY 11373-5531
(718) 205-2055
(718) 205-2355
Mailing address
PO BOX 740372, REGO PARK, NY 11374-0372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05372270
—
NY
Enumeration date
05/16/2019
Last updated
05/16/2019
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