Jonathan Levi Fayzakov, DDS
NPI #1225727985 in Forest Hills, New York
Provider Information
- NPI Number
- 1225727985
- Entity Type
- Individual
- Name
- Jonathan Levi Fayzakov, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 8, 2023
- Last Updated
- Jul 7, 2024
Practice Location
- Address
- 10834 67TH DRIVE
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375
- Phone
- (347) 982-5717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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