SHAHLA AZADI

MORGANTOWN, WV
NPI1215192422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: PA  DS037558)
Additional Taxonomies122300000X Dentist
(Licence: WV  3840)
Enumeration Date2008-07-28
Last Update Date2008-07-28
Business Address
-- SHAHLA AZADI dds
3004 FALLEN OAK RD
MORGANTOWN, WV 26508-8660
Phone number: 304-594-2712
Mailing Address
-- SHAHLA AZADI dds
3004 FALLEN OAK RD
MORGANTOWN, WV 26508-8660
Phone number: 304-594-2712