Individual
DR. SHIVA GOLTALAB RAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3055 PLYMOUTH ROAD, SUITE 100, ANN ARBOR, MI 48105
(734) 930-6688
(734) 930-2986
Mailing address
3055 PLYMOUTH ROAD, SUITE 100, ANN ARBOR, MI 48105
(734) 930-6688
(734) 930-2986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016219
MI
Other
Enumeration date
05/09/2007
Last updated
05/24/2022
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