Individual
DR. SIYOUNEH NOVSHADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
999 SUTTER ST # 11, SAN FRANCISCO, CA 94109-6023
(818) 926-2792
Mailing address
740 PARNASSUS AVE APT 11, SAN FRANCISCO, CA 94122-2624
(818) 926-2792
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS102177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5SNU776
—
CA
Enumeration date
12/09/2019
Last updated
12/09/2019
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