Individual
DR. LIDA ALIMORAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413118
VA
122300000X
Dentist
G3-0000488
DE
1223G0001X
General Practice Dentistry
14851
MD
1223P0221X
Pediatric Dentistry
Primary
G3-0000488
DE
Other
Enumeration date
06/08/2011
Last updated
09/19/2019
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