Individual
DR. MOHAMMAD WADUDUZZAMAN BHUYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036853
NY
122300000X
Dentist
DN0010710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00722770
—
NY
01
—
036853
STATE BOARD OF EDUCATION
NY
Enumeration date
11/08/2005
Last updated
03/07/2023
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