Shady Samuel

NPI #1245536382 in Mineola, New York

Provider Information

NPI Number
1245536382
Entity Type
Individual
Name
Shady Samuel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 8, 2011
Last Updated
Aug 15, 2017

Practice Location

Address
18 JEROME AVE
ZIP Code
11501-3302
Phone
(718) 268-0452

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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