Individual
DR. SIMON BANGIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
346 MAIN AVE STE H, NORWALK, CT 06851-1592
(203) 939-9390
(203) 939-9391
Mailing address
346 MAIN AVE STE H, NORWALK, CT 06851-1592
(203) 939-9390
(203) 939-9391
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
056650
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11114
CT
Other
Enumeration date
07/13/2009
Last updated
04/18/2018
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