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Organization

MADELINE SHAKIN DDS KEVIN SHEREN DDS PC

Active
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Organization

MADELINE SHAKIN DDS KEVIN SHEREN DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MADELINE SHAKIN D.D.S. (OWNER/PRESIDENT)
(631) 581-1188
Entity
Organization

Contact information

Practice address
369 E MAIN ST, SUITE 9, EAST ISLIP, NY 11730-2800
(631) 581-1188
(631) 581-6909
Mailing address
369 E MAIN ST, SUITE 9, EAST ISLIP, NY 11730-2800
(631) 581-1188
(631) 581-6909

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
01/18/2011
Last updated
03/01/2011
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