Individual
DR. BILAL DAMLAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, CAGS, MSD
Contact information
Practice address
8057 BREWERTON RD, CICERO, NY 13039-9585
(347) 400-9853
Mailing address
829 N SALINA ST APT 31, SYRACUSE, NY 13208-2672
(347) 400-9853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058720
NY
1223E0200X
Endodontics
Primary
058720
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2015
Last updated
08/27/2020
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