Individual
DR. BHUPENDRA D SURTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8111 45TH AVE, SUITE NO 1J, FLUSHING, NY 11373-3553
(718) 424-5757
(718) 424-5757
Mailing address
363 MANHATTAN ST, STATEN ISLAND, NY 10307-1808
(718) 356-2093
(718) 356-2093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00298339
—
NY
Enumeration date
02/14/2007
Last updated
07/08/2007
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