Shahrokh Ganjian

NPI #1639433667 in Rego Park, New York

Provider Information

NPI Number: 1639433667
Entity Type: Organization
Organization Name: Shahrokh Ganjian
Primary Specialty: Dentist
Enumeration Date: Jun 25, 2012
Last Updated: Jun 25, 2012

Practice Location

Address: 9737 63RD RD STE 1K
City: Rego Park
State: New York
ZIP Code: 11374-1642
Phone: (718) 897-8900

Authorized Official

Name: DR. SHAHROKH GANJIAN, DDS
Title: OWNER
Phone: (718) 897-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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