Individual
DIANA MAHMOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(703) 608-6431
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
RES.004998
OH
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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