Organization
CAMBRIA DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOOROSH SHAMTOUB DDS (OWNER)
(718) 257-0300
Entity
Organization
Contact information
Practice address
219-11 LINDEN BOULEVARD, CAMBRIA HEIGHTS, NY 11411
(718) 257-0300
Mailing address
219-11 LINDEN BOULEVARD, CAMBRIA HEIGHTS, NY 11411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051063
NY
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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