Individual
DR. MOHAMMAD MOINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1795 MAIN ST, SUITE 202, SPRINGFIELD, MA 01103-1077
(413) 739-5685
(413) 737-8209
Mailing address
1158 WILLIAMS ST, LONGMEADOW, MA 01106-2166
(413) 567-9090
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12567
MA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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