Individual
SHAHBOD RASSOULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D
Contact information
Practice address
11401 PINES BLVD, SUITE 220, PEMBROKE PINES, FL 33026
(954) 432-5515
(954) 432-8908
Mailing address
801 BRICKELL KEY BLVD, SUITE 3311, MIAMI, FL 33131-3711
(305) 373-4664
(954) 432-8908
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN14482
FL
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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