Individual
DR. SHANNON ELIZABETH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
73 GLEN COVE RD, GREENVALE, NY 11548-1007
(516) 621-2225
Mailing address
1410 COLUMBIA RD, APT.#8J, SOUTH BOSTON, MA 02127-4019
(617) 905-3354
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
053530
NY
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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