Individual
DR. IOSIF JOSEPH KHAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10250 62ND RD APT 1F, FOREST HILLS, NY 11375-1009
(347) 752-7117
Mailing address
6336 99TH ST APT 5H, REGO PARK, NY 11374-1988
(347) 752-7117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060573
NY
1223G0001X
General Practice Dentistry
Primary
060573
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/24/2018
Last updated
01/05/2023
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