Individual
SHANKAR IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MDS
Contact information
Practice address
469 MORRIS AVENUE, 300 SMILE USA, ELIZABETH, NJ 07208
(908) 527-8880
(908) 527-8587
Mailing address
469 MORRIS AVENUE, 300, ELIZABETH, NJ 07208
(908) 527-8880
(908) 527-8587
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19245
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7221606
—
NJ
Enumeration date
12/11/2006
Last updated
07/08/2007
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