| Rafael Isakharov Dds Pc | |
|
9819 64th Ave Apt 1h Rego Park NY 11374-2525 | |
| (718) 897-9745 | |
| (646) 889-2823 |
| Full Name | Rafael Isakharov Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 9819 64th Ave Apt 1h, Rego Park, New York |
| Authorized Official Name and Position | Rafael Isakharov (OWNER) |
| Authorized Official Contact | 3473419863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Isakharov Dds Pc 9819 64th Ave Apt 1h Rego Park NY 11374-2525 Ph: (718) 897-9745 | Rafael Isakharov Dds Pc 9819 64th Ave Apt 1h Rego Park NY 11374-2525 Ph: (718) 897-9745 |
| NPI Number | 1932783560 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932783560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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