Organization
D&I DENTAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHALYTO DDS (OWNER)
(718) 544-8900
Entity
Organization
Contact information
Practice address
41 KEW GARDENS RD STE 1G, KEW GARDENS, NY 11415-1165
(718) 544-8900
(718) 544-0471
Mailing address
41 KEW GARDENS RD STE 1G, KEW GARDENS, NY 11415-1165
(718) 544-8900
(718) 544-0471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01205687
—
NY
Enumeration date
04/17/2008
Last updated
04/17/2008
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