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1598251944
REZA HAKIM SHOUSHTARI
PHILADELPHIA, PA
NPI
1598251944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DS040929)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
Dr. REZA HAKIM SHOUSHTARI DMD
240 S 40TH ST
PHILADELPHIA, PA 19104-6030
Phone number: 484-886-6288
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Mailing Address
Dr. REZA HAKIM SHOUSHTARI DMD
240 S 40TH ST
PHILADELPHIA, PA 19104-6030
Phone number: 484-886-6288
Copy
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