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1619067675
SHANY C PARK
NEW ROCHELLE, NY
NPI
1619067675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY 048040-1)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Dr. SHANY C PARK DMD
77 QUAKER RIDGE RD #202
NEW ROCHELLE, NY 10804-2808
Phone number: 914-636-5958
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Mailing Address
Dr. SHANY C PARK DMD
77 QUAKER RIDGE RD #202
NEW ROCHELLE, NY 10804-2808
Phone number: 914-636-5958
Copy
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