Shayesheh & Shams Westside P a

NPI #1053659813 in El Paso, Texas

Provider Information

NPI Number
1053659813
Entity Type
Organization
Organization Name
Shayesheh & Shams Westside P a
Subpart
Yes (part of a larger organization)
Parent Organization
SHAYESTEH & SHAMS P A
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 29, 2013
Last Updated
Jan 29, 2013

Practice Location

Address
255 SHADOW MOUNTAIN DR
Address 2
SUITE G AND H
State
Texas
ZIP Code
79912-4757
Phone
(915) 857-6453

Authorized Official

Name
NIMA SHAYESTEH, D.M.D
Title
OWNER/DENTIST
Phone
(915) 857-6453

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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