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Organization
SHARP SMILE DENTAL, PC
Active
Organization
SHARP SMILE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY SHAPIRO DMD (PRESIDENT)
(718) 763-9118
Entity
Organization
Contact information
Practice address
1763 ROCKAWAY PKWY, BROOKLYN, NY 11236-5037
(718) 763-9118
(718) 763-9501
Mailing address
1763 ROCKAWAY PKWY, BROOKLYN, NY 11236-5037
(718) 763-9118
(718) 763-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03259125
—
NY
Enumeration date
04/18/2018
Last updated
04/18/2018
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