SearchNew JerseyPeriodontics

Mark Khaimov, DDS

NPI 1477614162 · on the registry since 2006 · sole proprietor

Practice

Address
180 Centre St
Nutley, NJ 07110
Phone
(973) 798-2639
Fax
(973) 798-2640

Registry record

Primary taxonomy
Periodontics
1223P0300X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey