Individual
DR. MASIH SHAHLAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S., M.S.
Contact information
Practice address
16944 W BELL RD, SUITE B-1, SURPRISE, AZ 85374-8950
(623) 214-5518
(623) 214-5572
Mailing address
16283 N 99TH WAY, SCOTTSDALE, AZ 85260-2239
(480) 747-1969
(480) 361-3074
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
050439
NY
1223P0300X
Periodontics
Primary
D5713
AZ
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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