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1649317421
SHIVA IZADDOUST
SAN ANTONIO, TX
NPI
1649317421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 17028)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Dr. SHIVA IZADDOUST D.D.S.
2310 SW MILITARY DR SUITE 406
SAN ANTONIO, TX 78224-1407
Phone number: 210-927-1400
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Mailing Address
Dr. SHIVA IZADDOUST D.D.S.
2310 SW MILITARY DR SUITE 406
SAN ANTONIO, TX 78224-1407
Phone number: 210-927-1400
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