DERRICK SHAOULPOUR

NEW YORK, NY
NPI1508132515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  055597)
Enumeration Date2012-03-25
Last Update Date2012-03-25
Business Address
-- DERRICK SHAOULPOUR DDS
347 5TH AVE 1300
NEW YORK, NY 10016-5010
Phone number: 212-529-5432
Mailing Address
-- DERRICK SHAOULPOUR DDS
347 5TH AVE 1300
NEW YORK, NY 10016-5010
Phone number: 212-529-5432