Individual
CAMERON SHIMON RAFIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1426 48TH ST, BROOKLYN, NY 11219
(718) 436-2933
(718) 853-5509
Mailing address
1426 48TH ST, PARADISE DENTAL HEALTH PC, BROOKLYN, NY 11219
(718) 436-2933
(718) 853-5509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02058359
—
NY
Enumeration date
07/30/2008
Last updated
07/30/2008
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