Individual
DR. AMIRJON DAVLATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3753 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 205-4377
Mailing address
84 BAY 22ND ST FL 2, BROOKLYN, NY 11214-3806
(347) 816-0954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062592
NY
122300000X
Dentist
DN26696
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2021
Last updated
09/07/2023
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