DR. Shideh Mansouri, D.D.S.

NPI #1568679918 in Arleta, California

Provider Information

NPI Number: 1568679918
Entity Type: Individual
Name: DR. Shideh Mansouri, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9722 LAUREL CANYON BLVD
City: Arleta
State: California
ZIP Code: 91331-4106
Phone: (818) 897-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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