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NPI Code Detail

MEDICARE: SHAHROOZ SEIFIKAR DDS

MEDICARE: SHAHROOZ SEIFIKAR DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry22904TX

General Provider Information

NPI Number : 1346334539
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHROOZ SEIFIKAR DDS
Provider Business Mailing Address
First Line : 8650 SOUTHWESTERN BLVD
Second Line : APT #2819
City : DALLAS
State : TX
Zip : 75206-2611
Country : US
Telephone Number : 972-642-7069
Fax Number :
Provider Business Practice Location Address
First Line : 3501 SHEPHERD LN
Second Line :
City : BALCH SPRINGS
State : TX
Zip : 75180-2325
Country : US
Telephone Number : 972-286-5711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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Directions to “ SHAHROOZ SEIFIKAR DDS” Practice Location

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