Individual
SEAN CHALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 MONTAUK HWY STE C, SHIRLEY, NY 11967-2115
(631) 399-1600
Mailing address
141 E ECKERSON RD, SPRING VALLEY, NY 10977-3133
(845) 659-3161
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061984
NY
Other
Enumeration date
04/21/2019
Last updated
09/17/2021
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