Shahida Qazi DDS, FAGD

NPI # 

Practice Address:

84 N Main St

Cortland, NY, 13045-2127

Practice Phone:

607-753-1843

Practice Fax:

607-753-0938

License Number:

036627-1

License State:

NY

Taxonomy Grouping:

Dental Providers

Taxonomy Classification:

Dentist

Taxonomy Specialization:

General Practice

Taxonomy Code:

1223G0001X

Deactivation Date:

2006-03-15T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2006-03-21T00:00:00.000Z