Individual provider · Type 1 NPI

Ezro Fattakhov, DDS

General Practice Dentistry · Forest Hills, NY

NPI number 1811046741 Active

About NPI 1811046741

Ezro Fattakhov, DDS's National Provider Identifier is 1811046741, issued on Jan 9, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 8, 2007.