Organization
MY SMILES PEDIATRIC DENTISTRY OF QUEENS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARONA SHIMUNOVA DDS (DENTIST/OWNER)
(917) 293-8298
Entity
Organization
Contact information
Practice address
7914 164TH ST, JAMAICA, NY 11432-1115
(917) 293-8298
Mailing address
7914 164TH ST, JAMAICA, NY 11432-1115
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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