Individual
DR. EVAN P MONDSHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,PC
Contact information
Practice address
6836 108TH ST B10, FOREST HILLS, NY 11375-3366
(718) 268-1561
(718) 268-1577
Mailing address
6836 108TH ST B10, FOREST HILLS, NY 11375-3366
(718) 268-1561
(718) 268-1577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00339946
—
NY
Enumeration date
04/18/2012
Last updated
12/29/2015
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