Dmitri Bougakov, PH.D

NPI 1851414031 · on the registry since 2007 · sole proprietor

Practice

Address: 315 W 57th St
Suite 401
New York, NY 10019
Phone: (646) 496-8963
Organisation at this address: Nios Spa
Rfc Ny Lab Llc
Serene Dental Llc
Bruce Heller M D P C
Dentist Near Me Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 103G00000X
103G00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-11-25

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 New York