Individual
DR. MICHAEL BAHARESTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
052370
NY
Other
Enumeration date
01/10/2008
Last updated
04/09/2025
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