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Kianor Shahmohammadi, DMD
NPI 1184747362 · on the registry since 2007
Practice
- Address
- 135 S Sycamore St
Centralia, IL 62801 - Phone
- (618) 532-1411
- Fax
- (618) 532-1496
- Organisation at this address
- Shah Dental Clinic,Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois