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Organization
SHAUN G MASSIAH DMD PC
Active
Organization
SHAUN G MASSIAH DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN GRENVILLE MASSIAH DMD (OWNER DENTIST)
(212) 222-5225
Entity
Organization
Contact information
Practice address
50 W 97TH STREET SUITE 16, NEW YORK, NY 10025-6004
(212) 222-5225
(212) 222-4405
Mailing address
50 W 97TH ST APT 1C, NEW YORK, NY 10025-6004
(212) 222-5225
(212) 222-4405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047413
NY
Other
Enumeration date
09/25/2006
Last updated
09/09/2014
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