Individual
DR. SHAHAB SOLEYMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4105 30TH AVE, ASTORIA, NY 11103-2908
(718) 932-6212
(718) 932-2113
Mailing address
4105 30TH AVE, ASTORIA, NY 11103-2908
(718) 932-6212
(718) 932-2113
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828739
—
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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