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Individual

JOSSEIN SHAHANGIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
150635
NC
1223P0221X
Pediatric Dentistry
Primary
59342
CA
1223P0221X
Pediatric Dentistry
8551
NC

Other

Enumeration date
07/23/2007
Last updated
04/05/2020
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