Provider Demographics
NPI:1508937673
Name:SAGAFI, SHAHIN SOLI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHAHIN
Middle Name:SOLI
Last Name:SAGAFI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:411 WAVERLEY OAKS RD
Mailing Address - Street 2:BLDG #3, STE 318
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-8448
Mailing Address - Country:US
Mailing Address - Phone:781-647-0022
Mailing Address - Fax:781-647-1122
Practice Address - Street 1:411 WAVERLEY OAKS RD
Practice Address - Street 2:BLDG #3, STE 318
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8448
Practice Address - Country:US
Practice Address - Phone:781-647-0022
Practice Address - Fax:781-647-1122
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA184641223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry