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Organization
SHANTI DENTAL CARE, P.C.
Active
Organization
SHANTI DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTHI HAUPAGE D.D.S. (CEO)
(516) 756-0111
Entity
Organization
Contact information
Practice address
297 MAIN ST, FARMINGDALE, NY 11735-3589
(516) 756-0111
Mailing address
297 MAIN ST, FARMINGDALE, NY 11735-3589
(516) 756-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039727
NY
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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