Shahrzad Doulatshahi Aarup, DDS
Individual provider Active NPI General Practice Dentistry · Pomona, CA
NPI 1265784367 · NPPES record last updated Dec 20, 2021
Key facts
- NPI
- 1265784367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- SP290 (CA)
- Practice address
- 309 E 2ND St
Pomona, CA 91766-1854 - Phone
- (909) 469-8641
- Fax
- (909) 706-3800
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP290 | CA | MD | General Practice Dentistry |
| 28450 | TX | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28450 | TX | |
| General Practice Dentistry | 1223G0001X | SP290 | CA | Yes |
Addresses
Primary practice location
309 E 2ND St
Pomona, CA 91766-1854
Mailing address
309 E 2ND St
Pomona, CA 91766-1854
Phone (909) 469-8641
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- Natalie Aabodi
- Aastha, Inc
- Manas Reddy Aavula
- Yolanda Abadie
- Cassandra Amber Abbinanti
- Alycia Abbott
All providers in Pomona, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.