| Simon Bangiyev Dds, Md, Pc Dba Premier Oral Surgery | |
|
346 Main Ave Suite H Norwalk CT 06851-1592 | |
| (203) 939-9390 | |
| Not Available |
| Full Name | Simon Bangiyev Dds, Md, Pc Dba Premier Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 346 Main Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Simon Y Bangiyev (PRESIDENT) |
| Authorized Official Contact | 2039399390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Bangiyev Dds, Md, Pc Dba Premier Oral Surgery 346 Main Ave Suite H Norwalk CT 06851-1592 Ph: (203) 939-9390 | Simon Bangiyev Dds, Md, Pc Dba Premier Oral Surgery 346 Main Ave Suite H Norwalk CT 06851-1592 Ph: (203) 939-9390 |
| NPI Number | 1861939456 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861939456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 011114 (Connecticut) | Primary |
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