Individual
ANDRE OLIVEIRA-SHAHINFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6038 GEMINI DR, MADISON, WI 53718-3008
(608) 819-8344
Mailing address
6038 GEMINI DR, MADISON, WI 53718-3008
(608) 819-8344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002416
WI
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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