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Individual

DR. HAJIRA HUSAIN BIDGOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2211 MERRICK RD, MERRICK, NY 11566-4752
(516) 365-5439
Mailing address
10 WESTEDGE ST UNIT 727, CHARLESTON, SC 29403-6927
(215) 370-1726

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052384
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02892120
NY
Enumeration date
09/19/2007
Last updated
02/28/2022
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