Individual
DR. SHOKOUFEH SHAHRABI FARAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, M.S, DMSC
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-1756
Mailing address
875 UNION AVE, MEMPHIS, TN 38103-3513
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS0000009784
TN
Other
Enumeration date
11/04/2011
Last updated
09/09/2016
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