Individual
DR. NAVID VOSOUGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
728 N MAIN ST, NEW SQUARE, NY 10977-8916
(845) 354-9300
Mailing address
501 W 113TH ST, APT 903, NEW YORK, NY 10025-8073
(412) 441-6714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-023549
OH
122300000X
Dentist
DS039039
PA
1223E0200X
Endodontics
Primary
057156
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2010
Last updated
07/13/2016
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