| NPI | 1851549364 |
|---|---|
| Former Name | HAMID SHAFIZADEH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24261) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 24261) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |