Individual
AIA HAMDY SHALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
6646 RIDGE BLVD, BROOKLYN, NY 11220-4828
(347) 634-0520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061914
NY
Other
Enumeration date
02/19/2020
Last updated
08/26/2021
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