Individual
DR. SHANTANU LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 RIVERSIDE BLVD, HAPPY TEETH NY LLC, NEW YORK, NY 10069-1001
(212) 810-6562
Mailing address
400 W 63RD ST, 2404, NEW YORK, NY 10069-0434
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
05 056328
NY
Other
Enumeration date
07/30/2008
Last updated
04/02/2015
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