Khodorkovsky, Daniel

Khodorkovsky, Daniel is an sole proprietor health care provider with primary practice located at 119 Prospect St , Ridgewood NJ 07450-4451. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khodorkovsky, Daniel can be contacted via phone (201) 444-1600.

Contact Information

Primary practice address
119 Prospect St Ridgewood NJ 07450-4451
Phone: (201) 444-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02804200 New Jersey

Profile Details

NPI number 1740801679
LBN Legal business name Khodorkovsky, Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2020
Last updated Feb 9th, 2021 - about 3 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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