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Organization
SHAHINE DENTAL, P.C.
Active
Organization
SHAHINE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAN SHAHINE D.D.S. (OWNER)
(315) 622-6603
Entity
Organization
Contact information
Practice address
8075 OSWEGO RD, LIVERPOOL, NY 13090-1691
(315) 622-6603
(315) 622-6606
Mailing address
8075 OSWEGO RD, LIVERPOOL, NY 13090-1691
(315) 622-6603
(315) 622-6606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051526
NY
122300000X
Dentist
056220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02608079
—
NY
01
—
1720076979
INDIVIDUAL NPI
—
01
—
1992070767
INDIVIDUAL NPI
—
Enumeration date
12/05/2012
Last updated
12/05/2012
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