DR. Rafael Boruchov, DDS
NPI #1295169472 in Forest Hills, New York
Provider Information
- NPI Number
- 1295169472
- Entity Type
- Individual
- Name
- DR. Rafael Boruchov, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 24, 2013
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 11620 QUEENS BLVD
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-7055
- Phone
- (718) 507-7781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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