DR. Sogol Shantiyai, D.M.D.
NPI #1114376654 in Stony Brook, New York
Provider Information
- NPI Number
- 1114376654
- Entity Type
- Individual
- Name
- DR. Sogol Shantiyai, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- D.M.D.
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Jun 6, 2016
Practice Location
- Address
- SUNY AT STONY BROOK HOSPITAL DENTISTRY
- Address 2
- 151 WESTCHESTER HALL
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-8711
- Phone
- (631) 444-2557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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