Organization
BAYVIEW ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA KANDOV DDS (OWNER/ORTHODONTIST)
(718) 423-2626
Entity
Organization
Contact information
Practice address
21333 39TH AVE STE 300, BAYSIDE, NY 11361-2092
(718) 423-2626
Mailing address
21333 39TH AVE STE 300, BAYSIDE, NY 11361-2092
(718) 423-2626
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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