DR. Anita E Shashoua, DDS

NPI #1306071964 in Port Washington, New York

Provider Information

NPI Number: 1306071964
Entity Type: Individual
Name: DR. Anita E Shashoua, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 26, 2009
Last Updated: Jun 9, 2009

Practice Location

Address: 14 VANDERVENTER AVE
Address 2: SUITE 212
City: Port Washington
State: New York
ZIP Code: 11050-3737
Phone: (516) 802-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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