Individual
AFSHIN EGHTEDARI SHAHSAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1543 INWOOD AVE, BRONX, NY 10452-2001
(844) 400-1975
Mailing address
1700 GRAND CONCOURSE APT 16A, BRONX, NY 10457-7661
(717) 608-1589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063399
NY
Other
Enumeration date
02/09/2022
Last updated
11/13/2024
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