Shahnaz L Formoli DDS

NPI 1134316706 - Dentist - 1223G0001X

NPI Details
NPI 1134316706
Gender Female
Enumeration Date 09/27/2007
Last Updated 09/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4360 ARDEN WAY
#3
SACRAMENTO CA, 95864-3153, US
Phone (916) 485-4800
Fax (916) 483-4806
Business Location
4360 ARDEN WAY
#3
SACRAMENTO CA, 95864-3153, US
Phone (916) 485-4800
Fax (916) 483-4806
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 43149
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According to our database, Dr. Shahnaz L Formoli DDS NPI is 1134316706, taxonomy code is 1223G0001X and license number is 43149, license state is located at California. Shahnaz L Formoli DDS physically located at 4360 Arden Way, Sacramento CA, 95864-3153. NPI Number Shahnaz L Formoli DDS has the Individual type.

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1134316706 NPI number is provided on an as is basis without warranty of any kind. 1134316706 is maintained by the National Plan & Provider Enumeration System. The contents of Shahnaz L Formoli DDS are for informational purposes only.