Individual
DR. BIJAN REZA AHMADZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
358 HAMLIN HWY, SUITE 2, LAKE ARIEL, PA 18436-0000
(570) 689-2449
(866) 658-1522
Mailing address
358 HAMLIN HWY, SUITE 2, LAKE ARIEL, PA 18436-0000
(570) 689-2449
(866) 658-1522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038398
PA
Other
Enumeration date
07/30/2010
Last updated
08/18/2020
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