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Rebecca Aminov, DDS

Dentist, Orthodontics and Dentofacial Orthopedics in Randolph, NJ. Individual provider (NPI-1).

NPI number1265106934
StatusActive
Last updated in NPPESSep 5, 2021

Details

NPI
1265106934
Entity type
Individual (NPI-1)
Name
Rebecca Aminov
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2021
Certification date
Sep 5, 2021
Last updated
Sep 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics22DI02846300NJYes

Practice location

714 State Route 10 Unit 200
Randolph, NJ 07869-2059

Phone 973-366-8338

Mailing address

6336 99th St
Rego Park, NY 11374-1979

Phone 917-331-1800

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