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1093797615
THEA DIANE SHIVE
MANHASSET, NY
NPI
1093797615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 038527)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
Dr. THEA DIANE SHIVE D.D.S.
565 PLANDOME RD #141
MANHASSET, NY 11030-1945
Phone number: 516-330-4430
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Mailing Address
Dr. THEA DIANE SHIVE D.D.S.
565 PLANDOME RD #141
MANHASSET, NY 11030-1945
Phone number: 516-330-4430
Copy
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