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1235275116
SHIDEH MODJARRAD
DALLAS, TX
NPI
1235275116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 19368)
Enumeration Date
2007-01-29
Last Update Date
2012-03-20
Business Address
Dr. SHIDEH MODJARRAD D.D.S
5365 SPRING VALLEY RD #130
DALLAS, TX 75254-3097
Phone number: 972-386-4999
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Mailing Address
Dr. SHIDEH MODJARRAD D.D.S
5365 SPRING VALLEY RD. SUIT# 130
DALLAS, TX 75254
Phone number: 972-386-4999
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