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
Fax: (619) 423-1407
Website:

Health care specialties

SpecialtyCodeLicense #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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