DR. MARK KHAIMOV, DDS
Dentist - Periodontics
Active
Individual
NPI: 1477614162
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 2249201 (NJ) |
Frequently Asked Questions
NPI 1477614162 is the National Provider Identifier for DR. MARK KHAIMOV, DDS, a Dentist - Periodontics provider located in Nutley, NJ. This NPI was enumerated on December 13, 2006.
DR. MARK KHAIMOV, DDS practices at 180 CENTRE ST, Nutley, NJ 07110.
Quick Facts
- NPI
- 1477614162
- Type
- Individual
- Enumerated
- Dec 13, 2006
- Last Updated
- Jul 18, 2016
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