Organization
SIMON BANGIYEV DDS, MD, PC DBA PREMIER ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON Y BANGIYEV DDS, MD (PRESIDENT)
(203) 939-9390
Entity
Organization
Contact information
Practice address
346 MAIN AVE, SUITE H, NORWALK, CT 06851-1592
(203) 939-9390
Mailing address
346 MAIN AVE, SUITE H, NORWALK, CT 06851-1592
(203) 939-9390
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011114
CT
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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