Organization
SHAHAB SOLEYMANI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHHAB SOLEYMANI DDS (PRESIDENT)
(718) 932-6212
Entity
Organization
Contact information
Practice address
4105 30TH AVE, ASTORIA, NY 11103-2908
(718) 932-6212
(718) 932-2113
Mailing address
4105 30TH AVE, ASTORIA, NY 11103-2908
(718) 932-6212
(718) 932-2113
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045265
NY
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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