Provider Demographics
NPI:1811473770
Name:SHAHRI, SOHEIL (DDS)
Entity type:Individual
Prefix:DR
First Name:SOHEIL
Middle Name:
Last Name:SHAHRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S BEVERLY DR STE 180
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4815
Mailing Address - Country:US
Mailing Address - Phone:310-277-3451
Mailing Address - Fax:
Practice Address - Street 1:350 S BEVERLY DR STE 180
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4815
Practice Address - Country:US
Practice Address - Phone:310-277-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1027841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice