Individual
DR. ANATOLIY KONOVALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3002 MERMAID AVE, NYC FAMILY DENTAL CARE, BROOKLYN, NY 11224-2374
(718) 975-4475
Mailing address
3002 MERMAID AVE, NYC FAMILY DENTAL CARE, BROOKLYN, NY 11224-2374
(718) 975-4475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054967
NY
Other
Enumeration date
07/21/2010
Last updated
09/18/2014
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