| NPI | 1831573575 |
|---|---|
| Former Name | SAMANEH ARFAEI SHAHIDI ZADEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401415343) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD LL765) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2018-03-20 |