Individual
DR. SANDRA ANNE SHOSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
5353 MAIN ST, WILLIAMSVILLE, NY 14221-5337
(716) 634-4121
(716) 634-7857
Mailing address
5353 MAIN ST, WILLIAMSVILLE, NY 14221-5337
(716) 634-4121
(716) 634-7857
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
040981
NY
Other
Enumeration date
05/04/2007
Last updated
10/07/2010
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