Individual
KEIHAN GAVAHI KASHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 503-7118
Mailing address
200 N 16TH ST APT 522, PHILADELPHIA, PA 19102-1218
(615) 767-0907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044223
PA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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