Ali Shahrestani, D.M.D., PLLC
Dentist in Charlotte, NC. Organization (NPI-2).
NPI number1972240455
StatusActive
Last updated in NPPESMay 17, 2022
Details
- NPI
- 1972240455
- Entity type
- Organization (NPI-2)
- Legal business name
- Ali Shahrestani, D.M.D., PLLC
- Organization subpart
- No
- Enumeration date
- May 17, 2022
- Certification date
- May 17, 2022
- Last updated
- May 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- University Modern Dentistry (Doing Business As)
Practice location
8956 J M Keynes Dr Ste 500Charlotte, NC 28262-8626
Phone 980-890-7590 · Fax 980-895-4454
Mailing address
Po Box 920050Dallas, TX 75392-0050
Authorized official
Ali Shahrestani
Owner Dentist
9808907590
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