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1396238887
NISA GOSHTASBI
SHELBY TOWNSHIP, MI
NPI
1396238887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901022665)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
NISA GOSHTASBI DDS
50505 SCHOENHERR RD STE 170
SHELBY TOWNSHIP, MI 48315-3141
Phone number: 586-803-8300
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Mailing Address
NISA GOSHTASBI DDS
2440 PARMENTER BLVD APT 201
ROYAL OAK, MI 48073-1339
Phone number:
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