Roman Khodosh, DDS
NPI #1598977514 in West New York, New Jersey
Provider Information
- NPI Number
- 1598977514
- Entity Type
- Individual
- Name
- Roman Khodosh, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5918 BERGENLINE AVE
- Address 2
- SUITE 200
- City
- West New York
- State
- New Jersey
- ZIP Code
- 07093-1392
- Phone
- (201) 681-6555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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