Yuriy Fatakhov, DDS
NPI #1023140407 in Forest Hills, New York
Provider Information
- NPI Number
- 1023140407
- Entity Type
- Individual
- Name
- Yuriy Fatakhov, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10333 QUEENS BLVD
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-3448
- Phone
- (718) 897-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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