| NPI | 1437150810 |
|---|---|
| Former Name | SHOELEH NAVAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2006007559) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: MO 2006007559) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-11-06 |