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:
Health care specialties
| Specialty | Code | License # | 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 5 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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