| Ilya Yagudayev Dds, Pc | |
|
517 Pulaski St Office B Riverhead NY 11901-3210 | |
| (516) 860-4176 | |
| Not Available |
| Full Name | Ilya Yagudayev Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 517 Pulaski St, Riverhead, New York |
| Authorized Official Name and Position | Eduard Yagudayev (OFFICE MANAGER) |
| Authorized Official Contact | 5168604176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilya Yagudayev Dds, Pc 517 Pulaski St Office B Riverhead NY 11901-3210 Ph: () - | Ilya Yagudayev Dds, Pc 517 Pulaski St Office B Riverhead NY 11901-3210 Ph: (516) 860-4176 |
| NPI Number | 1093955098 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093955098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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