Organization
ALI SHAHRESTANI, D.M.D., PLLC
Active
Other names
University Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER DENTIST)
(980) 890-7590
Entity
Organization
Contact information
Practice address
8956 J M KEYNES DR STE 500, CHARLOTTE, NC 28262-8626
(980) 890-7590
(980) 895-4454
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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