Individual
SIMARDEEP NAGYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(718) 901-8410
Mailing address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(718) 901-8410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
102835900
NJ
1223P0221X
Pediatric Dentistry
Primary
102835900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2020
Last updated
07/07/2022
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