Individual
DR. SHAHIN GHOBADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1600 HARRISON AVE, STE 101, MAMARONECK, NY 10543
(914) 698-4090
(914) 698-2195
Mailing address
1600 HARRISON AVE., STE 101, MAMARONECK, NY 10543
(914) 698-4090
(914) 698-2195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02332400
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053865
NY
Other
Enumeration date
05/10/2007
Last updated
04/21/2016
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