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Organization
SHAYESHEH & SHAMS WESTSIDE P A
Active
Organization
SHAYESHEH & SHAMS WESTSIDE P A
Active
Parent organization
SHAYESTEH & SHAMS P A
Other names
Picasso Smiles Dental Implant & Cosmetic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAYESTEH & SHAMS P A
Authorized official
NIMA SHAYESTEH D.M.D (OWNER/DENTIST)
(915) 857-6453
Entity
Organization
Contact information
Practice address
255 SHADOW MOUNTAIN DR, SUITE G AND H, EL PASO, TX 79912-4757
(915) 857-6453
Mailing address
255 SHADOW MOUNTAIN DR, SUITE G AND H, EL PASO, TX 79912-4757
(915) 857-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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