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Dr. Mark I Khaimov, DDS
Periodontist in Nutley, New Jersey
NPI 1477614162

Mark I Khaimov is a Periodontist based in Nutley, NJ and is specialized in Periodontics. Mark I Khaimov practices in Nutley, NJ and has the professional credentials of DDS. The NPI Number for Mark I Khaimov is 1477614162 and holds a License No. 2249201 (New Jersey).

The current practice location address for Mark I Khaimov is 180 Centre St, Nutley, NJ and can be reached out via phone at 973-798-2639 and via fax at 973-798-2640.

Location: 180 Centre St, Nutley, NJ, 07110-2828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477614162
Provider Name
Mark I Khaimov
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
180 Centre St, Nutley, NJ, 07110-2828
Phone Number
973-798-2639
Fax Number
973-798-2640
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
180 Centre St
City
Nutley
State
New Jersey
Zip
07110-2828
Phone Number
973-798-2639
Fax Number
973-798-2640
person
Provider Business Mailing Address Details
Address
180 Centre St
City
Nutley
State
New Jersey
Zip
07110-2828
Phone Number
973-798-2639
Fax Number
973-798-2640
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
2249201 (New Jersey)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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