Individual
SHIEVA SHAMS MOLAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
8401 W FAIRMONT PKWY, LA PORTE, TX 77571-4418
(281) 542-9772
(281) 542-9774
Mailing address
8401 W FAIRMONT PKWY, LA PORTE, TX 77571-4418
(281) 542-9772
(281) 542-9774
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27316
TX
Other
Enumeration date
09/23/2011
Last updated
07/02/2018
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