Ghorbani - Mohammadi Dental P.c.

NPI #1982149522 in Bridgeport, Connecticut

Provider Information

NPI Number: 1982149522
Entity Type: Organization
Organization Name: Ghorbani - Mohammadi Dental P.c.
Primary Specialty: Dentist
Enumeration Date: Jan 5, 2017
Last Updated: Jan 5, 2017

Practice Location

Address: 2676 E MAIN ST
Address 2: COLUMBIA DENTAL
City: Bridgeport
State: Connecticut
ZIP Code: 06610-1422
Phone: (408) 313-3228

Authorized Official

Name: HAMED GHORBANI-MOGHADDAM, D.D.S.
Title: PRESIDENT
Phone: (408) 313-3228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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