Shideh Modjarrad, D.D.S

NPI 1235275116 · on the registry since 2007 · sole proprietor

Practice

Address: 5365 Spring Valley Rd
#130
Dallas, TX 75254
Phone: (972) 386-4999
Fax: (972) 386-4964
Organisation at this address: All Dental
Western Dental
For You Dental Group, Pllc
North Dallas School Of Dental Assistants Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-03-20

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 Texas