VICTORIA E. SHACK, DDS, PC
Dentist
Active
Organization
NPI: 1366896466
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 056759 (NY) |
Frequently Asked Questions
NPI 1366896466 is the National Provider Identifier for VICTORIA E. SHACK, DDS, PC, a Dentist provider located in Port Jefferson Station, NY. This NPI was enumerated on April 15, 2016.
Quick Facts
- NPI
- 1366896466
- Type
- Organization
- Enumerated
- Apr 15, 2016
- Last Updated
- Apr 15, 2016
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