Kobakov, Mikhail Yurevich

Kobakov, Mikhail Yurevich is an individual health care provider with primary practice located at 2 Jungle Rd , Leominster MA 01453. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kobakov, Mikhail Yurevich can be contacted via phone (978) 534-8300.

Contact Information

Primary practice address
2 Jungle Rd Leominster MA 01453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11809 Connecticut
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN1857895 Massachusetts

Profile Details

NPI number 1356784375
LBN Legal business name Kobakov, Mikhail Yurevich
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Jul 30th, 2018 - about 6 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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