Mazaheri, Shadi

Mazaheri, Shadi is an individual health care provider with primary practice located at 13400 Washington Blvd Ste 202B , Marina Del Rey CA 90292-5643. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mazaheri, Shadi can be contacted via phone (213) 537-4231.

Contact Information

Primary practice address
13400 Washington Blvd Ste 202B Marina Del Rey CA 90292-5643
Phone: (213) 537-4231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 62184 California

Profile Details

NPI number 1598005498
LBN Legal business name Mazaheri, Shadi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2013
Last updated Mar 28th, 2013 - about 12 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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