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Organization
SHAYESTEH AND SHAMS DENTAL PA
Active
Organization
SHAYESTEH AND SHAMS DENTAL PA
Active
Other names
Picasso Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIR SHAMS D.M.D (SECRETARY)
(310) 663-4323
Entity
Organization
Contact information
Practice address
1816 N ZARAGOZA RD STE 103, EL PASO, TX 79936-8020
(310) 663-4323
Mailing address
1816 N ZARAGOZA RD STE 103, EL PASO, TX 79936-8020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24979
TX
1223G0001X
General Practice Dentistry
Primary
26280
TX
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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