Individual
MISHA ZAHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
188 W MONTAUK HWY, BUILDING B, SUITE 8, HAMPTON BAYS, NY 11946-2363
(631) 728-8482
Mailing address
188 W MONTAUK HWY, BUILDING B, SUITE 8, HAMPTON BAYS, NY 11946-2363
(631) 728-8482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057990
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2014
Last updated
04/20/2016
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