Individual
DR. SHAUN FREDERICK DARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
947 S LAKE BLVD, MAHOPAC, NY 10541-3254
(845) 621-2424
Mailing address
1133 WARBURTON AVE APT 604N, YONKERS, NY 10701-1131
(631) 398-9376
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060522
NY
Other
Enumeration date
04/09/2017
Last updated
04/05/2022
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