Individual
BASTI BENIAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3002 MERMAID AVE, BROOKLYN, NY 11224-1806
(718) 975-4475
Mailing address
3002 MERMAID AVE, BROOKLYN, NY 11224-1806
(718) 975-4475
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030602
NY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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