Soheilimoghadam, Mehrdad
Soheilimoghadam, Mehrdad is an sole proprietor health care provider with primary practice located at 132 Wilder Way , North Wales PA 19454-1532. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Soheilimoghadam, Mehrdad can be contacted via phone (310) 760-6042.Contact Information
Primary practice address
132 Wilder Way
North Wales PA 19454-1532
Phone: (310) 760-6042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401414790 | Virginia |
| Dental Providers / Periodontics | 1223P0300X | 0401414790 | Virginia |
Profile Details
| NPI number | 1124414867 |
|---|---|
| LBN Legal business name | Soheilimoghadam, Mehrdad |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Apr 9th, 2015 - about 11 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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