Individual
SEYED AMIRALI SHOKROLLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10151 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-3670
(505) 275-1663
Mailing address
13616 APACHE PLUME PL NE, ALBUQUERQUE, NM 87111-8036
(818) 585-6989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2024-0166.
NM
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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