Shahram Shadfar DMD

NPI 1194950113 - Dentist - 1223P0221X

NPI Details
NPI 1194950113
Gender Male
Enumeration Date 05/19/2009
Last Updated 05/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
601 ROUTE 37 W STE 102
TOMS RIVER NJ, 08755-8050, US
Phone (732) 240-2244
Fax (732) 240-1121
Business Location
7410 RIDGE BLVD APT 5N
BROOKLYN NY, 11209-2334, US
Phone (732) 240-2244
Fax (732) 240-1121
Toxanomy
Taxonomy Code 1223P0221X
License State New Jersey
License Number 22DI02402300
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According to our database, Dr. Shahram Shadfar DMD NPI is 1194950113, taxonomy code is 1223P0221X and license number is 22DI02402300, license state is located at New Jersey. Shahram Shadfar DMD physically located at 601 Route 37 W Ste 102, Toms River NJ, 08755-8050. NPI Number Shahram Shadfar DMD has the Individual type.

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1194950113 NPI number is provided on an as is basis without warranty of any kind. 1194950113 is maintained by the National Plan & Provider Enumeration System. The contents of Shahram Shadfar DMD are for informational purposes only.