| Ghorbani - Mohammadi Dental P.c. | |
|
2676 E Main St Columbia Dental Bridgeport CT 06610-1422 | |
| (408) 313-3228 | |
| Not Available |
| Full Name | Ghorbani - Mohammadi Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2676 E Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Hamed Ghorbani-moghaddam (PRESIDENT) |
| Authorized Official Contact | 4083133228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghorbani - Mohammadi Dental P.c. 2676 E Main St Columbia Dental Bridgeport CT 06610-1422 Ph: () - | Ghorbani - Mohammadi Dental P.c. 2676 E Main St Columbia Dental Bridgeport CT 06610-1422 Ph: (408) 313-3228 |
| NPI Number | 1982149522 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982149522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11154 (Connecticut) | Primary |
| 122300000X | Dentist | 8514 (Connecticut) | Secondary |
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