Atteyat Hadizadeh

NPI #1932515350 in Prospect, Kentucky

Provider Information

NPI Number: 1932515350
Entity Type: Individual
Name: Atteyat Hadizadeh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2014
Last Updated: Jul 7, 2014

Practice Location

Address: 11804 LAKESTONE WAY
Address 2: 11804 LAKESTONE WAY
City: Prospect
State: Kentucky
ZIP Code: 40059-9000
Phone: (502) 228-2147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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