Individual
DR. MOHAMMAD WADUDUZZAMAN BHUYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8950 164TH ST, STE 2A, JAMAICA, NY 11432-5142
(718) 658-4050
(718) 658-8910
Mailing address
8950 164TH ST, STE 2A, JAMAICA, NY 11432-5142
(718) 658-4050
(718) 658-8910
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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