Poya Moghadam, DMD

NPI #1720270309 in Canton, Georgia

Provider Information

NPI Number: 1720270309
Entity Type: Individual
Name: Poya Moghadam, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 16, 2007
Last Updated: Nov 15, 2010

Practice Location

Address: 1810 CUMMING HWY
Address 2: SUITE 900
City: Canton
State: Georgia
ZIP Code: 30114-9386
Phone: (678) 880-0087

Specialties & Taxonomy Codes

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

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