Individual
DR. ASAL MIRHADIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, DDS
Contact information
Practice address
2010 S JUNIPER ST, PHILADELPHIA, PA 19148-5509
(215) 334-3490
Mailing address
2010 S JUNIPER ST, PHILADELPHIA, PA 19148-5509
(215) 334-3490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041717
PA
1223P0221X
Pediatric Dentistry
Primary
DS041717
PA
Other
Enumeration date
07/09/2018
Last updated
02/26/2023
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