Individual
MR. MANOHAR SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27 NORTH STREET, MIDDLETOWN, NY 10940
(845) 342-3900
Mailing address
21 ORCHARD STREET, PO BOX 987, MIDDLETOWN, NY 10940
(845) 343-7614
(845) 343-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051233
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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