Organization
ILYA YAGUDAYEV DDS, PC
Active
Other names
Affordable Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARD YAGUDAYEV (OFFICE MANAGER)
(516) 860-4176
Entity
Organization
Contact information
Practice address
517 PULASKI ST, OFFICE B, RIVERHEAD, NY 11901-3210
(516) 860-4176
Mailing address
517 PULASKI ST, OFFICE B, RIVERHEAD, NY 11901-3210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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