MICHAEL ILYASOV

General Practice Dentistry

NPI: 1477244564Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

064310(NY)

Contact & Hours

Address: 823 W JERICHO TPKE
SMITHTOWN, NY 11787
Phone: (631) 543-0550

Quick Facts

NPI: 1477244564
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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