Ghaffarpour, Mandana

Ghaffarpour, Mandana is an individual health care provider with primary practice located at 1213 N Main St , Fuquay Varina NC 27526-2616. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ghaffarpour, Mandana can be contacted via phone (910) 814-2944.

Contact Information

Primary practice address
1213 N Main St Fuquay Varina NC 27526-2616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7133 North Carolina

Profile Details

NPI number 1174675227
LBN Legal business name Ghaffarpour, Mandana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174675227 NPPES
North Carolina MEDICAID 899013X

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