DR. Sapan Anil Mukhatiyar, D.M.D.

NPI #1619195138 in Woodside, New York

Provider Information

NPI Number: 1619195138
Entity Type: Individual
Name: DR. Sapan Anil Mukhatiyar, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 22, 2007
Last Updated: Aug 29, 2012

Practice Location

Address: 5903 ROOSEVELT AVE
Address 2: 2ND FLOOR
City: Woodside
State: New York
ZIP Code: 11377-3546
Phone: (718) 651-7700

Specialties & Taxonomy Codes

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

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