Etemadzadeh, Shapour
Etemadzadeh, Shapour is an individual health care provider with primary practice located at 3490 Palm Ave , San Diego CA 92154. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Etemadzadeh, Shapour can be contacted via phone (619) 423-1351.Contact Information
Primary practice address
3490 Palm Ave
San Diego CA 92154
Phone: (619) 423-1351
Fax: (619) 423-1407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | RDH 15077 | California |
Profile Details
NPI number | 1891941597 |
---|---|
LBN Legal business name | Etemadzadeh, Shapour |
Credentials | Registered Dental Hygienist (RDH) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2008 |
Last updated | Aug 13th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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