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Individual
ALEX MONTAZEM
Active
Individual
ALEX MONTAZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
042730
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042730
NY
Other
Enumeration date
01/16/2007
Last updated
06/23/2021
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