Shaddel-, Siavash
Shaddel-, Siavash is an individual health care provider with primary practice located at 101 E Randol Mill Rd Suite 107, Arlington TX 76011-4610. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaddel-, Siavash can be contacted via phone (817) 277-8847.Contact Information
Primary practice address
101 E Randol Mill Rd Suite 107
Arlington TX 76011-4610
Phone: (817) 277-8847
Fax: (817) 277-9550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17641 | Texas |
Profile Details
| NPI number | 1396722385 |
|---|---|
| LBN Legal business name | Shaddel-, Siavash |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 2007 - 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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