Provider Demographics
NPI:1982853586
Name:ALEMPOUR, SAMIRA (DMD)
Entity Type:Individual
Prefix:
First Name:SAMIRA
Middle Name:
Last Name:ALEMPOUR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2863 EXECUTIVE PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3647
Mailing Address - Country:US
Mailing Address - Phone:954-217-1121
Mailing Address - Fax:954-217-1128
Practice Address - Street 1:1240 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4721
Practice Address - Country:US
Practice Address - Phone:954-449-6195
Practice Address - Fax:954-653-3082
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL183531223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry