DR. Alevtina Malakova, D.D.S.

NPI #1003196445 in Elmhurst, New York

Provider Information

NPI Number: 1003196445
Entity Type: Individual
Name: DR. Alevtina Malakova, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 17, 2011
Last Updated: Nov 12, 2019

Practice Location

Address: 9123 QUEENS BLVD STE B
City: Elmhurst
State: New York
ZIP Code: 11373-5559
Phone: (718) 205-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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