VICTORIA E. SHACK, DDS, PC

PORT JEFFERSON STATION, NY
NPI1366896466
Entity TypeOrganization
Authorized ContactVICTORIA ELENA SHACK
President
631-928-7500
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  056759)
Enumeration Date2016-04-15
Last Update Date2016-04-15
Business Address
VICTORIA E. SHACK, DDS, PC
3 MEDICAL DR SUITE D
PORT JEFFERSON STATION, NY 11776-1597
Phone number: 631-928-7500
Mailing Address
VICTORIA E. SHACK, DDS, PC
3 MEDICAL DR SUITE D
PORT JEFFERSON STATION, NY 11776-1597
Phone number: 631-928-7500
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