Organization · NPI-2

Arlington Dentistry PC

Dentist · Madison, AL

NPI number1356443709
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1356443709
Entity type
Organization (NPI-2)
Legal business name
Arlington Dentistry PC
Organization subpart
No
Enumeration date
Sep 5, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistAL4792ALYes

Other names

  • Shanaz Iranmanesh Dmd (Other Name)

Practice location

119 Arlington Drive
Madison, AL 35758

Phone 256-461-4184 · Fax 256-461-7892

Mailing address

108 Sanoma Dr
Madison, AL 35758

Phone 256-772-6855 · Fax 256-461-7892

Authorized official

Shanaz S Iranmanesh
Owner Dentist President
2564614184

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