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1013219922
SHIVA KHATAMI
DAVIE, FL
NPI
1013219922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DTP533)
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
-- SHIVA KHATAMI D.D.S.
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-7500
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Mailing Address
-- SHIVA KHATAMI D.D.S.
110 N FEDERAL HWY APT # 813
FT LAUDERDALE, FL 33301-1180
Phone number: 954-632-7884
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