Organization
BANGASH DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM BANGASH (OWNER)
(863) 676-6200
Entity
Organization
Contact information
Practice address
24185 US HIGHWAY 27, LAKE WALES, FL 33859-7819
(863) 676-6200
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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