Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ezro Yadgarov

Individual provider Dentist · NPI 1689265811

Ezro Yadgarov is a Dentist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4422 3rd Ave
Bronx, NY 10457-2594
Phone: (718) 960-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)
Dentist Taxonomy 122300000X · Licence - (NY)

Record details

NPI number1689265811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2021
Last updated in NPPESJanuary 30, 2021
Certification dateJanuary 30, 2021

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