| NPI | 1518630664 |
|---|---|
| Former Name | ROSHANAK JAMALZADEHSAHRAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 106708) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 106708) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-03-10 |