Khanimov, Yefim

Khanimov, Yefim is an individual health care provider with primary practice located at 375 W Route 59 White House Dental, Spring Valley NY 10977-5360. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Khanimov, Yefim can be contacted via phone (845) 356-3353.

Contact Information

Primary practice address
375 W Route 59 White House Dental Spring Valley NY 10977-5360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0518741 New York

Profile Details

NPI number 1710067129
LBN Legal business name Khanimov, Yefim
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710067129 NPPES
New York MEDICAID 02688728

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