Individual
ILAN SHAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 W RIVERSIDE DR STE 153, PARKER, AZ 85344-5221
(928) 669-0099
(800) 341-3775
Mailing address
155 W RIVERSIDE DR STE 153, PARKER, AZ 85344-5221
(928) 669-0099
(800) 341-3775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008769
AZ
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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