Individual
VESELIN SHUMANTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
782 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1167
(201) 654-3671
Mailing address
425 MAIN ST, 3J, NEW YORK, NY 10044-0238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02430100
NY
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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