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Organization
SHADPOUR DENTISTRY, PLLC
Active
Organization
SHADPOUR DENTISTRY, PLLC
Active
Other names
Gen Z Dentistry, 37TH STREET DENTISTRY PLLC, GenZ Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ELHAM SHADPOUR DDS (DENTIST)
(718) 689-6060
Entity
Organization
Contact information
Practice address
7015 COOPER AVE FL 1, GLENDALE, NY 11385-7244
(718) 689-6060
Mailing address
7015 COOPER AVE FL 1, GLENDALE, NY 11385-7244
(718) 689-6060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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