Individual
DR. ANNA EENAS SHAHROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3736 ROCKY RIVER DR, CLEVELAND, OH 44111-4050
(216) 251-8826
Mailing address
3736 ROCKY RIVER DR, CLEVELAND, OH 44111-4050
(216) 251-8826
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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