Fariba Kianmajd

NPI #1083308373 in Hudson, Wisconsin

Provider Information

NPI Number: 1083308373
Entity Type: Individual
Name: Fariba Kianmajd
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 8, 2023
Last Updated: Oct 15, 2024

Practice Location

Address: 709 RODEO DR STE 114
City: Hudson
State: Wisconsin
ZIP Code: 54016-7758
Phone: (716) 386-3675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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