Individual
KIRAN SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OLD COUNTRY RD STE 460, MINEOLA, NY 11501-4293
(516) 663-2752
Mailing address
39 GARDEN BLVD, HICKSVILLE, NY 11801-5933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063332
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/22/2022
Last updated
09/03/2023
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