Individual
DR. ALEXANDR NEKTALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1390 PENNSYLVANIA AVE, BROOKLYN, NY 11239-2103
(718) 642-8600
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060699-01
NY
Other
Enumeration date
03/09/2018
Last updated
05/15/2020
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