Sholehvar, Maryam

Sholehvar, Maryam is an individual health care provider with primary practice located at 1104 S Cedar Crest Blvd Suite 100, Allentown PA 18103-7901. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sholehvar, Maryam can be contacted via phone (610) 437-4486.

Contact Information

Primary practice address
1104 S Cedar Crest Blvd Suite 100 Allentown PA 18103-7901
Fax: (610) 437-5071
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS027959L Pennsylvania

Profile Details

NPI number 1467652735
LBN Legal business name Sholehvar, Maryam
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Jul 24th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467652735 NPPES
Pennsylvania Other 142980 BLUE SHIELD
Pennsylvania Other 417742 BLUE SHIELD

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