Individual
MR. ISMET SHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 ROBERT PITT DR, MONSEY, NY 10952-3333
(845) 352-6800
Mailing address
121 S HIGHLAND AVE, 3L, OSSINING, NY 10562-5862
(914) 488-5708
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026743-1
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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