Shadpour Dentistry, Pllc

NPI #1942997135 in Glendale, New York

Provider Information

NPI Number: 1942997135
Entity Type: Organization
Organization Name: Shadpour Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 19, 2023
Last Updated: Apr 19, 2023

Practice Location

Address: 7015 COOPER AVE FL 1
City: Glendale
State: New York
ZIP Code: 11385-7244
Phone: (718) 689-6060

Authorized Official

Name: ELHAM SHADPOUR, DDS
Title: DENTIST
Phone: (718) 689-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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