Organization
MICHAEL BAHARESTANI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BAHARESTANI DDS (OWNER)
(516) 829-4010
Entity
Organization
Contact information
Practice address
12 BOND ST LBBY, GREAT NECK, NY 11021-2005
(516) 829-4010
(516) 304-5295
Mailing address
12 BOND ST LBBY, GREAT NECK, NY 11021-2005
(516) 829-4010
(516) 304-5295
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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