DR. Shahram - Fozoonmehr, D.D.S.

NPI #1013071430 in Torrance, California

Provider Information

NPI Number
1013071430
Entity Type
Individual
Name
DR. Shahram - Fozoonmehr, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1455 CRENSHAW BLVD
Address 2
#180
ZIP Code
90501-2438
Phone
(310) 328-0250

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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