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Individual
DR. NASTASSIA ELENA SHIELDS
Active
Individual
DR. NASTASSIA ELENA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058481
NY
1223G0001X
General Practice Dentistry
Primary
DN21816
FL
Other
Enumeration date
07/06/2015
Last updated
01/22/2019
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