Individual
DR. FARAJOLLAH SOLEIMANZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 993-7909
Mailing address
15 WOODFIELD LN, GLEN HEAD, NY 11545-2242
(516) 476-4509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NONE
NY
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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