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1811045016
LEONID SHIMANOV
WOODSIDE, NY
NPI
1811045016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 048978)
Enumeration Date
2007-01-06
Last Update Date
2007-07-08
Business Address
-- LEONID SHIMANOV DDS
4705 44TH ST APT. A-2
WOODSIDE, NY 11377-6348
Phone number: 718-752-9000
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Mailing Address
-- LEONID SHIMANOV DDS
18249 80TH RD
JAMAICA, NY 11432-1403
Phone number: 718-662-8550
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