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Organization
SIMON BANGIYEV DDS, MD, PC DBA PREMIER ORAL SURGERY
Active
Organization
SIMON BANGIYEV DDS, MD, PC DBA PREMIER ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON Y BANGIYEV DDS, MD (PRESIDENT)
(203) 939-9390
Entity
Organization
Contact information
Practice address
346 MAIN AVE, SUITE H, NORWALK, CT 06851-1592
(203) 939-9390
Mailing address
346 MAIN AVE, SUITE H, NORWALK, CT 06851-1592
(203) 939-9390
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011114
CT
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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