Provider Demographics
NPI:1881848463
Name:SHAHDAD, MARIA YUNIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:YUNIS
Last Name:SHAHDAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 W MCDERMOTT DRIVE , SUITE 140
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4677
Mailing Address - Country:US
Mailing Address - Phone:972-727-8100
Mailing Address - Fax:972-649-6411
Practice Address - Street 1:2023 W MCDERMOTT DRIVE , SUITE 140
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4677
Practice Address - Country:US
Practice Address - Phone:972-727-8100
Practice Address - Fax:972-649-6411
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27499122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist