Organization
HOLLYWOOD SMILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEFIM KHANIMOV DDS (OWNER)
(917) 604-6925
Entity
Organization
Contact information
Practice address
9750 QUEENS BLVD STE G2, REGO PARK, NY 11374-3211
(718) 830-0110
(718) 532-0456
Mailing address
611 BRIDGE ST, WOODMERE, NY 11598-1509
(917) 604-6925
(718) 532-0456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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