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1780812123
SCOTT WILLIAM SHALLISH
SYRACUSE, NY
NPI
1780812123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 055055)
Enumeration Date
2009-06-24
Last Update Date
2012-01-04
Business Address
Dr. SCOTT WILLIAM SHALLISH D.M.D.
3930 E GENESEE ST
SYRACUSE, NY 13214-1934
Phone number: 315-471-6188
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Mailing Address
Dr. SCOTT WILLIAM SHALLISH D.M.D.
3930 E GENESEE ST
SYRACUSE, NY 13214-1934
Phone number: 315-471-6188
Copy
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