Individual
ALEXANDER MIKHAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9015 QUEENS BLVD, ELMHURST, NY 11373-4900
(718) 760-1616
(718) 760-9647
Mailing address
9015 QUEENS BLVD, ELMHURST, NY 11373-4900
(718) 760-1616
(718) 760-9647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041796-1
NY
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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