Kianmajd, Fariba

Kianmajd, Fariba is an individual health care provider with primary practice located at 709 Rodeo Dr Ste 114 , Hudson WI 54016-7758. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Kianmajd, Fariba can be contacted via phone (716) 386-3675.

Contact Information

Primary practice address
709 Rodeo Dr Ste 114 Hudson WI 54016-7758
Phone: (716) 386-3675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D14963 Minnesota
Dental Providers / Dentist 122300000X 600167115 Wisconsin

Profile Details

NPI number 1083308373
LBN Legal business name Kianmajd, Fariba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2023
Last updated Oct 15th, 2024 - about 2 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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