DR. Shahram Khodai, D.D.S.
NPI #1104966332 in Roseville, California
Provider Information
- NPI Number
- 1104966332
- Entity Type
- Individual
- Name
- DR. Shahram Khodai, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Jun 2, 2010
Practice Location
- Address
- 3984 DOUGLAS BLVD
- Address 2
- SUITE 170
- City
- Roseville
- State
- California
- ZIP Code
- 95661-4245
- Phone
- (916) 771-0330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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