| NPI | 1912164468 |
|---|---|
| Former Name | SHAHRZAD SHIRANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV LL-0108-06) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57070) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-09-24 |