DR. Yakov Khaydatov, DMD

NPI #1023249448 in Phoenix, Arizona

Provider Information

NPI Number
1023249448
Entity Type
Individual
Name
DR. Yakov Khaydatov, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 3, 2009
Last Updated
Dec 3, 2009

Practice Location

Address
5225 N 19TH AVE
Address 2
SUITE C
State
Arizona
ZIP Code
85015-2903
Phone
(602) 433-0313

Specialties & Taxonomy Codes

Specialty
Dentist

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