Individual
DR. ANGUEL HRISTOV PANEV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
772 GRAND ST, BROOKLYN, NY 11211-5395
(718) 218-9494
Mailing address
1137 86TH ST, 2 FLOOR, BROOKLYN, NY 11228-3320
(718) 680-2670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02530032
—
NY
Enumeration date
06/18/2006
Last updated
03/09/2016
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