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Organization
NYC SMILING DENTIST, PLLC
Active
Organization
NYC SMILING DENTIST, PLLC
Active
Parent organization
NYC SMILING DENTIST, PLLC
Other names
Shawn Salehezadeh, D.D.S., The QPD
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYC SMILING DENTIST, PLLC
Authorized official
DR. SHAWN SALEHEZADEH DDS (DOCTOR/OWNER)
(718) 937-2773
Entity
Organization
Contact information
Practice address
4104 27TH ST LOWR LEVEL, LONG ISLAND CITY, NY 11101-4949
(718) 937-2773
Mailing address
4104 27TH ST LOWR LEVEL, LONG ISLAND CITY, NY 11101-4949
(718) 937-2773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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