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Organization
SHAHROKH GANJIAN
Active
Organization
SHAHROKH GANJIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROKH GANJIAN DDS (OWNER)
(718) 897-8900
Entity
Organization
Contact information
Practice address
9737 63RD RD STE 1K, REGO PARK, NY 11374-1642
(718) 897-8900
(718) 897-6363
Mailing address
9737 63RD RD STE 1K, REGO PARK, NY 11374-1642
(718) 897-8900
(718) 897-6363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191097
—
NY
Enumeration date
06/25/2012
Last updated
06/25/2012
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