Mariam Susanne Fallahzadeh, DMD

NPI #1235200205 in Paris, Kentucky

Provider Information

NPI Number
1235200205
Entity Type
Individual
Name
Mariam Susanne Fallahzadeh, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Nov 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4223A LEXINGTON ROAD
Address 2
BOURBON FAMILY DENTISTRY PLLC
City
Paris
ZIP Code
40361
Phone
(859) 988-0308

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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