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1275667503
SHIVA IZADDOUST D.D.S. P.A.
SAN ANTONIO, TX
NPI
1275667503
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Entity Type
Organization
Authorized Contact
SHIVA IZADDOUST
President
210-432-0298
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2007-03-16
Last Update Date
2020-08-22
Business Address
SHIVA IZADDOUST D.D.S. P.A.
700 S ZARZAMORA ST STE 106
SAN ANTONIO, TX 78207-5255
Phone number: 210-432-0298
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Mailing Address
SHIVA IZADDOUST D.D.S. P.A.
700 S ZARZAMORA ST STE 106
SAN ANTONIO, TX 78207-5255
Phone number: 210-432-0298
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