Individual
JOHN RICHARD SHURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12210 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694-1836
(718) 634-9700
(718) 474-7330
Mailing address
12210 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694-1836
(718) 634-9700
(718) 474-7330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31435
NY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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