Mark Kholdarov, D.D.S. is a student in an organized health care education training program in Brooklyn, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mark Kholdarov, D.D.S. NPI is 1801116777. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
800 POLY PL
DEPARTMENT OF DENTAL SERVICES
BROOKLYN, NY
ZIP 11209-104
Phone: (718) 836-6600
The NPI 1801116777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.