Individual
MR. DEEPAK K BHAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3094 51ST ST, WOODSIDE, NY 11377-1457
(718) 956-8400
(718) 267-8551
Mailing address
3094 51ST ST, WOODSIDE, NY 11377-1457
(718) 956-8400
(718) 267-8551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041160
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01062431
—
NY
Enumeration date
10/25/2005
Last updated
02/09/2017
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