Elliot Abraham Shine, DDS Valid NPI

Individual provider · Pediatric Dentistry · Syosset, NY

NPI

1548990476

Type

Individual (Type 1)

Primary specialty

Pediatric Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0221X

License number

064060 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2022-06-14

Last updated

2024-08-11