Organization
DR. MOGHADASI & ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID MOGHADASI DMD (OWNER)
(863) 858-7600
Entity
Organization
Contact information
Practice address
5608 US HIGHWAY 98 N, LAKELAND, FL 33809-3105
(863) 858-7600
(863) 859-0408
Mailing address
5608 US HIGHWAY 98 N, LAKELAND, FL 33809-3105
(863) 858-7600
(863) 859-0408
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN13330
FL
Other
Enumeration date
08/28/2012
Last updated
02/19/2015
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