Individual
DR. JASMINE ROXANA SHAFAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 S EAGLE RD, HAVERTOWN, PA 19083-3202
(610) 446-6688
Mailing address
100 S EAGLE RD, HAVERTOWN, PA 19083-3202
(610) 446-6688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN22385
FL
122300000X
Dentist
Primary
DS041117
PA
Other
Enumeration date
01/03/2017
Last updated
01/23/2017
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