Organization
DESIRE DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRAL L SHAH DDS (PRESIDENT)
(516) 318-3787
Entity
Organization
Contact information
Practice address
100 NEWBRIDGE RD STE 8, HICKSVILLE, NY 11801-3948
(516) 318-3787
Mailing address
100 NEWBRIDGE RD STE 8, HICKSVILLE, NY 11801-3948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056277-1
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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