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Organization
SHU'S DENTAL, P.C.
Active
Organization
SHU'S DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM SHU (PRESIDENT)
(718) 886-7808
Entity
Organization
Contact information
Practice address
13636 39TH AVE STE 8, FLUSHING, NY 11354-5576
(718) 886-7808
Mailing address
13636 39TH AVE STE 8, FLUSHING, NY 11354-5576
(718) 886-7808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050090
NY
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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