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Individual

DR. GEETHA B SHETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
8715 37TH AVE, PROFESSIONAL OFFICE A, JACKSON HEIGHTS, NY 11372-7701
(718) 651-8488
(718) 651-8402
Mailing address
8715 37TH AVE, PROFESSIONAL OFFICE A, JACKSON HEIGHTS, NY 11372-7701
(718) 651-8488
(718) 651-8402

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047437
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02460873
NY
Enumeration date
10/24/2006
Last updated
07/08/2007
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