VILLAGE GREEN DENTAL PC
Dentist at Hampton Grn, Staten Island, NY

License number
New York 0389861
Category
Dentist
Type
General Practice
Owner
Name: DR. VALERY DUBOVIKOV
Title: DDS
Phone: (718) 948-0870
Address
Address
337 Hampton Grn, Staten Island, NY 10312
National Provider ID: 1003100124
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VILLAGE GREEN DENTAL PC

337 Hampton Grn, Staten Island, NY 10312

Status:
Inactive
Industry:
Dentist's Office
Registration:
Aug 23, 2010
State ID:
3987781
Business type:
Domestic Professional Corporation
Family And General Dentistry, Principal:
Valery Dubovikov Family And General Dentistry, Principal, inactive, 337 Hampton Grn, Staten Island, NY 10312 (Physical)

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