Shaista Hasan, DMD

NPI #1831796853 in Wilkes Barre Township, Pennsylvania

Provider Information

NPI Number: 1831796853
Entity Type: Individual
Name: Shaista Hasan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 2, 2020
Last Updated: Jun 15, 2021

Practice Location

Address: 29 BEAR CREEK BLVD
City: Wilkes Barre Township
State: Pennsylvania
ZIP Code: 18702-7803
Phone: (570) 825-8090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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