Khaimov, Mark I

Khaimov, Mark I is an sole proprietor health care provider with primary practice located at 180 Centre St , Nutley NJ 07110-2828. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Khaimov, Mark I can be contacted via phone (973) 798-2639.

Contact Information

Primary practice address
180 Centre St Nutley NJ 07110-2828
Phone: (973) 798-2639
Fax: (973) 798-2640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2249201 New Jersey

Profile Details

NPI number 1477614162
LBN Legal business name Khaimov, Mark I
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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