Organization
CITY DENTAL CARE JAMAICA P.C.
Active
Other names
Mohammad W Bhuyan DDS (Previous Name)
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD WADUDUZZAMAN BHUYAN DDS (OWNER / PRESIDENT)
(718) 658-4050
Entity
Organization
Contact information
Practice address
89-50, 164TH STR, SUITE - 2A, JAMAICA, NY 11432
(718) 658-4050
(718) 658-8910
Mailing address
89-50, 164TH STR STE #2A, JAMAICA, NY 11432
(718) 658-4050
(718) 658-8910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00722770
—
NY
Enumeration date
10/31/2012
Last updated
10/31/2012
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