Individual
SOLALEH SHAHMIRZADI
Active
Individual
SOLALEH SHAHMIRZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
39123
TX
1223G0001X
General Practice Dentistry
39123
TX
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
39123
TX
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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