Individual
IGOR TITOV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 FLATBUSH AVE, BROOKLYN, NY 11225-4910
(718) 287-2882
(718) 287-8564
Mailing address
602 FLATBUSH AVE, BROOKLYN, NY 11225-4910
(718) 287-2882
(718) 287-8564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02102349
—
NY
Enumeration date
12/13/2005
Last updated
07/09/2007
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