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Organization
SIMON BANGIYEV DDS, MD, PC
Active
Organization
SIMON BANGIYEV DDS, MD, PC
Active
Parent organization
SIMON BANGIYEV, DDS, MD, PC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMON BANGIYEV, DDS, MD, PC.
Authorized official
DR. SIMON BANGIYEV DDS, MD. (OWNER)
(718) 805-6000
Entity
Organization
Contact information
Practice address
10232 JAMAICA AVE, RICHMOND HILL, NY 11418-2009
(718) 805-6000
Mailing address
10232 JAMAICA AVE, RICHMOND HILL, NY 11418-2009
(718) 805-6000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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