Individual
DR. ELMIRA GEDERI SHOJAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
795 HOLLYHOCK ST, PARK CITY, UT 84098-5579
(310) 433-1061
Mailing address
795 HOLLYHOCK ST, PARK CITY, UT 84098-5579
(310) 433-1061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12125111-9923
UT
1223G0001X
General Practice Dentistry
25363
TX
1223G0001X
General Practice Dentistry
57936
CA
Other
Enumeration date
12/08/2008
Last updated
01/02/2023
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