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1851958029
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
MONROE, CT
NPI
1851958029
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Entity Type
Organization
Authorized Contact
SIMON BANGIYEV
President
203-960-1960
Organization Subpart ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
324 ELM ST STE 201A
MONROE, CT 06468-2282
Phone number: 203-690-1960
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Mailing Address
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
324 ELM ST STE 201A
MONROE, CT 06468-2282
Phone number: 203-690-1960
Copy
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