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Organization
ZDEP DDS & SHALLISH DMD PC
Active
Organization
ZDEP DDS & SHALLISH DMD PC
Active
Other names
Zdep DDS & Zdep DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R ZDEP DDS (PRESIDENT)
(315) 471-6188
Entity
Organization
Contact information
Practice address
3930 E GENESEE ST, SYRACUSE, NY 13214-1934
(315) 471-6188
(315) 471-0271
Mailing address
3930 E GENESEE ST, SYRACUSE, NY 13214-1934
(315) 471-6188
(315) 471-0271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03083410
—
NY
Enumeration date
08/11/2006
Last updated
09/06/2019
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