Organization
GLEN SHANOCK'S DENTISTRY, PC
Active
Other names
Dr. Glen's Happy Teeth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN SHANOCK DDS (OWNER)
(516) 431-5855
Entity
Organization
Contact information
Practice address
120 W PARK AVE, SUITE 301, LONG BEACH, NY 11561-3301
(516) 431-5855
(516) 431-0728
Mailing address
120 W PARK AVE, SUITE 301, LONG BEACH, NY 11561-3301
(516) 431-5855
(516) 431-0728
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
045836
NY
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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