| Dr Shabnam Sorooshiani Dental Corporation | |
|
1902 N Tracy Blvd Tracy CA 95376-2423 | |
| (209) 650-3677 | |
| Not Available |
| Full Name | Dr Shabnam Sorooshiani Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1902 N Tracy Blvd, Tracy, California |
| Authorized Official Name and Position | Shabnam Sorooshiani (OWNER/DENTIST) |
| Authorized Official Contact | 8186201714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shabnam Sorooshiani Dental Corporation 1902 N Tracy Blvd Tracy CA 95376-2423 Ph: (209) 650-3677 | Dr Shabnam Sorooshiani Dental Corporation 1902 N Tracy Blvd Tracy CA 95376-2423 Ph: (209) 650-3677 |
| NPI Number | 1881264653 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881264653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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