DR. Mariya Mamkin, D.D.S.

NPI #1497911861 in Ridgewood, New York

Provider Information

NPI Number: 1497911861
Entity Type: Individual
Name: DR. Mariya Mamkin, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 5, 2008
Last Updated: Mar 12, 2013

Practice Location

Address: 5647 MYRTLE AVE
City: Ridgewood
State: New York
ZIP Code: 11385-4744
Phone: (718) 417-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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