LEONID SHIMANOV, DDS
Dentist - General Practice
Active
Individual
NPI: 1811045016
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 048978 (NY) |
Frequently Asked Questions
NPI 1811045016 is the National Provider Identifier for LEONID SHIMANOV, DDS, a Dentist - General Practice provider located in Woodside, NY. This NPI was enumerated on January 6, 2007.
LEONID SHIMANOV, DDS practices at 4705 44TH ST, APT. A-2, Woodside, NY 11377.
Quick Facts
- NPI
- 1811045016
- Type
- Individual
- Enumerated
- Jan 6, 2007
- Last Updated
- Jul 8, 2007
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