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Individual

MS. BIBEKA BHATTARAI KOIRALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3310 BAINBRIDGE AVE, BRONX, NY 10467-2856
(718) 654-3456
Mailing address
3310 BAINBRIDGE AVE, BRONX, NY 10467-2856
(718) 654-3456

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056973
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2012
Last updated
08/16/2015
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