Individual
DR. SHANY C PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
77 QUAKER RIDGE RD, #202, NEW ROCHELLE, NY 10804-2808
(914) 636-5958
Mailing address
77 QUAKER RIDGE RD, #202, NEW ROCHELLE, NY 10804-2808
(914) 636-5958
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048040-1
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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