Individual
DR. SCOTT H SHACKNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
196 PATERSON AVE, EAST RUTHERFORD, NJ 07073-1841
(201) 438-8717
(201) 438-2514
Mailing address
196 PATERSON AVE, EAST RUTHERFORD, NJ 07073-1841
(201) 438-8717
(201) 438-2514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI15424
NJ
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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