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Individual
TINA SHAMSZADEH
Active
Individual
TINA SHAMSZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061298-01
NY
122300000X
Dentist
22DI02808800
NJ
Other
Enumeration date
05/09/2019
Last updated
09/09/2022
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