Shadpour Dentistry, Pllc | |
7015 Cooper Ave Fl 1 Glendale NY 11385-7244 | |
(718) 689-6060 | |
Not Available |
Full Name | Shadpour Dentistry, Pllc |
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Speciality | Dentist - General Practice |
Location | 7015 Cooper Ave Fl 1, Glendale, New York |
Authorized Official Name and Position | Elham Shadpour (DENTIST) |
Authorized Official Contact | 7186896060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shadpour Dentistry, Pllc 7015 Cooper Ave Fl 1 Glendale NY 11385-7244 Ph: (718) 689-6060 | Shadpour Dentistry, Pllc 7015 Cooper Ave Fl 1 Glendale NY 11385-7244 Ph: (718) 689-6060 |
NPI Number | 1942997135 |
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Provider Enumeration Date | 04/19/2023 |
Last Update Date | 04/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942997135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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