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Individual

DR. MOHAMMAD AMIN KHOSHNEVISAN

Active
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Individual

DR. MOHAMMAD AMIN KHOSHNEVISAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.026201
OH
122300000X
Dentist
DS042004
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018001949
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
062474
NY

Other

Enumeration date
06/17/2015
Last updated
08/01/2022
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