Individual
NASER MOHAMMADZADEH REZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5929 CROMO DR, EL PASO, TX 79912-5572
(915) 671-5213
Mailing address
47 BRANGLEBRINK RD, SAINT JAMES, NY 11780-1357
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
35770
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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