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Organization
VSN DENTAL PC
Active
Organization
VSN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADISLAV SHIKHMANTER DDS (PRACTITIONER/PRESIDENT)
(732) 617-8411
Entity
Organization
Contact information
Practice address
184 US HIGHWAY 9, ENGLISHTOWN, NJ 07726-8454
(732) 617-8411
(732) 617-8412
Mailing address
184 US HIGHWAY 9, ENGLISHTOWN, NJ 07726-8454
(732) 617-8411
(732) 617-8412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20987
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8174105
—
NJ
Enumeration date
08/24/2006
Last updated
11/21/2008
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