Organization
EVAN P. MONDSHINE, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN P MONDSHINE D.D.S. (OWNER)
(718) 268-1561
Entity
Organization
Contact information
Practice address
6836 108TH ST STE B10, FOREST HILLS, NY 11375-3366
(718) 268-1561
(718) 268-1577
Mailing address
6836 108TH ST STE 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
02/26/2007
Last updated
03/12/2012
Update your record
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