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Ezro Fattakhov, DDS
NPI 1811046741 · on the registry since 2007
Practice
- Address
- 10510 62nd Rd
Apt 1f
Forest Hills, NY 11375 - Phone
- (718) 760-8400
- Fax
- (718) 760-8114
- Organisation at this address
- Ruben'S Dental, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 York