Individual
DR. SHAHRAM SHADFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
601 ROUTE 37 W STE 102, TOMS RIVER, NJ 08755-8050
(732) 240-2244
(732) 240-1121
Mailing address
7410 RIDGE BLVD APT 5N, BROOKLYN, NY 11209-2334
(732) 240-2244
(732) 240-1121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02402300
NJ
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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