Individual provider · Type 1 NPI
Elvira Yakubov, DDS
General Practice Dentistry · Rego Park, NY
NPI number
1780806224
Active
Practice location
6612 102nd St Apt 1E
Rego Park, NY 11374-4524
Fax (718) 997-8118
Mailing address
6612 102STREET SUITE1E
Rego Park, NY 11435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 048679-1 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1780806224
Elvira Yakubov, DDS's National Provider Identifier is 1780806224, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rego Park, NY. The record was last updated on Jul 8, 2007.