Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannen Marie Sandal Manlucu

Individual provider General Practice Dentistry · NPI 1942839725

Shannen Marie Sandal Manlucu is a General Practice Dentistry in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2348 Ralph Ave
Brooklyn, NY 11234-5515
Phone: (718) 531-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 55th St, Brooklyn, NY 11220-2508 — (718) 630-7000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 061795 (NY)

Record details

NPI number1942839725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

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