DR. Sawsan K Shukri, D.D.S.

NPI #1649427279 in Port Jefferson, New York

Provider Information

NPI Number: 1649427279
Entity Type: Individual
Name: DR. Sawsan K Shukri, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

Address: 106 GLENWOOD LN
City: Port Jefferson
State: New York
ZIP Code: 11777-1505
Phone: (631) 928-6325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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