Individual
DR. GEORGE SEPIASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1966 E MAIN ST, MOHEGAN LAKE, NY 10547-1231
(914) 526-2144
(914) 526-2187
Mailing address
1966 E MAIN ST, MOHEGAN LAKE, NY 10547-1231
(914) 526-2144
(914) 526-2187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048450
NY
Other
Enumeration date
03/22/2007
Last updated
04/23/2018
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