| NPI | 1811253180 |
|---|---|
| Former Name | SHEREEN AZIZOLLAHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL DN19574) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |