Shiva Izaddoust D.d.s. P.a.
NPI #1275667503 in San Antonio, Texas
Provider Information
- NPI Number
- 1275667503
- Entity Type
- Organization
- Organization Name
- Shiva Izaddoust D.d.s. P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 700 S ZARZAMORA ST
- Address 2
- STE 106
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78207-5255
- Phone
- (210) 432-0298
Authorized Official
- Name
- DR. SHIVA IZADDOUST, D.D.S.
- Title
- PRESIDENT
- Phone
- (210) 432-0298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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