Organization
BAYSIDE DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREY ILYABAYEV DDS (OWNER)
(917) 692-4374
Entity
Organization
Contact information
Practice address
21307 NORTHERN BLVD, BAYSIDE, NY 11361-3343
(917) 960-9196
Mailing address
21307 NORTHERN BLVD, BAYSIDE, NY 11361-3343
(917) 960-9196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/05/2023
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