Search › Massachusetts › 1223G0001X
Ekaterina Bagaeva, DDS
NPI 1518457969 · on the registry since 2018 · sole proprietor
Practice
- Address
- 500 South St W
Raynham, MA 02767 - Phone
- (718) 503-1406
- Organisation at this address
- Arul, Pc
Sunny Smile Vii IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 5645 Main St, Flushing, NY
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- NY, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts