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NPI Code Detail

MEDICARE: MRS. BELLA NORMATOV DDS

MEDICARE:  MRS. BELLA  NORMATOV  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist044223NY

Other Identifiers

General Provider Information

NPI Number : 1487764999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BELLA NORMATOV DDS
Provider Business Mailing Address
First Line : 6514 108TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-1856
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6514 108TH ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-1856
Country : US
Telephone Number : 718-997-8400
Fax Number : 718-997-6024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/11/2020

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Directions to “ MRS. BELLA NORMATOV DDS” Practice Location

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