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Individual

DR. ANNA EENAS SHAHROUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026649
OH
122300000X
Dentist
DN25507
FL
122300000X
Dentist
DRPM2193
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30.026649
OHIO STATE DENTAL BOARD
OH
01
DN25507
FLORIDA BOARD OF DENTISTRY
FL
Enumeration date
07/14/2020
Last updated
02/21/2023
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