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Organization
SANFORD SHAEV, D.D.S.
Active
Organization
SANFORD SHAEV, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD SHAEV D.D.S. (DENTIST)
(914) 699-6191
Entity
Organization
Contact information
Practice address
105 STEVENS AVE, SUITE 606, MOUNT VERNON, NY 10550-2686
(914) 699-6191
Mailing address
105 STEVENS AVE, SUITE 606, MOUNT VERNON, NY 10550-2686
(914) 699-6191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
028493
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01537351
—
NY
Enumeration date
04/30/2008
Last updated
04/30/2008
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