DR. Payam Goudarzi, DDS

NPI #1326063157 in Johnson City, New York

Provider Information

NPI Number: 1326063157
Entity Type: Individual
Name: DR. Payam Goudarzi, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 310 REYNOLDS RD
City: Johnson City
State: New York
ZIP Code: 13790-1308
Phone: (607) 722-1154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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