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Individual
DR. SHAHRIELA GANJOOR
Active
Individual
DR. SHAHRIELA GANJOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35207
GENERAL DENTIST
TX
Enumeration date
06/21/2019
Last updated
06/21/2019
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