DR. Pierre Khanschassoff, DDS

NPI #1083706832 in Stony Brook, New York

Provider Information

NPI Number: 1083706832
Entity Type: Individual
Name: DR. Pierre Khanschassoff, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 111 MANCHESTER LN
City: Stony Brook
State: New York
ZIP Code: 11790-2847
Phone: (631) 689-8570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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