Yuriy Nektalov, Dds, Pc | |
9424 63rd Dr Rego Park NY 11374-2028 | |
(718) 997-7762 | |
(718) 897-9060 |
Full Name | Yuriy Nektalov, Dds, Pc |
---|---|
Speciality | Dentist |
Location | 9424 63rd Dr, Rego Park, New York |
Authorized Official Name and Position | Yuriy Nektalov (DENTIST) |
Authorized Official Contact | 7189977762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yuriy Nektalov, Dds, Pc 9424 63rd Dr Rego Park NY 11374-2028 Ph: (718) 997-7762 | Yuriy Nektalov, Dds, Pc 9424 63rd Dr Rego Park NY 11374-2028 Ph: (718) 997-7762 |
NPI Number | 1700039807 |
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Provider Enumeration Date | 11/03/2008 |
Last Update Date | 11/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700039807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 047891 (New York) | Primary |
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