Shahrbanoo Fadavi D.D.S.,M.S.

NPI 1750461737 - Dentist - 1223P0221X

NPI Details
NPI 1750461737
Gender Female
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4833 CHURCH ST
801 S. POLINA
SKOKIE IL, 60077-1357, US
Phone (847) 673-7118
Fax
Business Location
2429 MEADOW DR N
WILMETTE IL, 60091-2253, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
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According to our database, Shahrbanoo Fadavi D.D.S.,M.S. NPI is 1750461737, taxonomy code is 1223P0221X Shahrbanoo Fadavi D.D.S.,M.S. physically located at 4833 Church St, Skokie IL, 60077-1357. NPI Number Shahrbanoo Fadavi D.D.S.,M.S. has the Individual type.

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1750461737 NPI number is provided on an as is basis without warranty of any kind. 1750461737 is maintained by the National Plan & Provider Enumeration System. The contents of Shahrbanoo Fadavi D.D.S.,M.S. are for informational purposes only.