Individual
TANNAZ MARYAM SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
107 8TH ST SE, ALTOONA, IA 50009
(515) 967-4211
(515) 967-2550
Mailing address
107 8TH ST SE, ALTOONA, IA 50009
(515) 967-4211
(515) 967-2550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7654
IA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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