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General NPI Number Information
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NPI Number | 1083408884
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Entity Type | Organization
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Legal Business Name | MODERN TOUCH DENTAL PC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 426 ATLANTIC AVE
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1431
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Country | US
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Telephone | 516-744-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 426 ATLANTIC AVE
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1431
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Country | US
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Telephone | 516-744-6740
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ISAAK RUBINOV
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Credential | DDS
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Telephone | 347-288-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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