Vitaly V Vaynshteyn, DDS
Dentist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1861691404
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1861691404
- Entity type
- Individual (NPI-1)
- Name
- Vitaly V Vaynshteyn
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2007
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0399031 | NY | Yes |
Practice location
424 Brighton Beach AveBrooklyn, NY 11235
Phone 718-646-5013
Mailing address
424 Brighton Beach AveBrooklyn, NY 11235
Phone 718-646-5013
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