Premier Oral Surgery and Implantology Center LLC
NPI #1851958029 in Monroe, Connecticut
Provider Information
- NPI Number
- 1851958029
- Entity Type
- Organization
- Organization Name
- Premier Oral Surgery and Implantology Center LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 23, 2019
- Last Updated
- May 23, 2019
Practice Location
- Address
- 324 ELM ST STE 201A
- City
- Monroe
- State
- Connecticut
- ZIP Code
- 06468-2282
- Phone
- (203) 690-1960
Authorized Official
- Name
- DR. SIMON BANGIYEV, DDS, MD.
- Title
- PRESIDENT
- Phone
- (203) 960-1960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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