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1508132515
DERRICK SHAOULPOUR
NEW YORK, NY
NPI
1508132515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 055597)
Enumeration Date
2012-03-25
Last Update Date
2012-03-25
Business Address
-- DERRICK SHAOULPOUR DDS
347 5TH AVE 1300
NEW YORK, NY 10016-5010
Phone number: 212-529-5432
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Mailing Address
-- DERRICK SHAOULPOUR DDS
347 5TH AVE 1300
NEW YORK, NY 10016-5010
Phone number: 212-529-5432
Copy
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