Individual
DR. AMIR SHAHBAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 LAMBERT LIND HWY, SUITE C, WARWICK, RI 02886-1160
(401) 463-7676
(401) 463-8108
Mailing address
1 LAMBERT LIND HWY, SUITE C, WARWICK, RI 02886-1160
(401) 463-7676
(401) 463-8108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17290
MA
1223G0001X
General Practice Dentistry
Primary
2328
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8148-3
BLUE CROSS DENTAL
RI
01
—
9008148
MEDICAL ASSISTANCE PROGRA
RI
Enumeration date
02/15/2007
Last updated
07/08/2007
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