Individual
SHAHIN KAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1416 BRACE RD, CHERRY HILL, NJ 08034
(856) 795-8020
(856) 795-9785
Mailing address
1416 BRACE RD, CHERRY HILL, NJ 08034
(856) 795-8020
(856) 795-9785
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19882
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11133
DELTA
—
Enumeration date
01/07/2009
Last updated
01/07/2009
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