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Individual

KAMRAN SHAHABI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11899 M 32, ATLANTA, MI 49709-9374
(989) 785-4855
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 785-4855

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602340
MI
1223G0001X
General Practice Dentistry
2901602340
MI

Other

Enumeration date
10/07/2024
Last updated
01/14/2025
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