Individual provider · NPI-1

Dr. Shahrzad Doulatshahi Aarup, DDS

Dentist, General Practice · Pomona, CA

NPI number1265784367
StatusActive
Last updated in NPPESDec 20, 2021

Details

NPI
1265784367
Entity type
Individual (NPI-1)
Name
Dr. Shahrzad Doulatshahi Aarup
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2012
Certification date
Dec 20, 2021
Last updated
Dec 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeSP290CAYes
1223G0001X Dentist, General Practice28450TX

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-8641 · Fax 909-706-3800

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-8641 · Fax 909-706-3800

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