Stephan Javaheri Valid NPI
Individual provider · Dentist · Apo, AE
- NPI
- 1518327691
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN22080 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-03-02
- Last updated
- 2020-08-26
Practice location
86th Medical Group, Unit 3215
Apo, AE 09094-3215
(314) 479-2609