Individual
DR. ILANA SHIMUNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
56-45 MAIN STREET, FLUSHING, NY 11355-5037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060193
NY
Other
Enumeration date
06/30/2017
Last updated
12/20/2021
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