Individual
BOGDAN BRAJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 11TH AVE, NEW YORK, NY 10019-3535
(212) 369-5566
Mailing address
827 11TH AVE, NEW YORK, NY 10019-3535
(212) 369-5566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061960
NY
Other
Enumeration date
05/07/2020
Last updated
09/25/2022
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