Individual
BANAFSHEH HOSSEINIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Contact information
Practice address
307 E 33RD ST, NEW YORK, NY 10016-9401
(212) 263-5834
Mailing address
307 E 33RD ST, NEW YORK, NY 10016-9401
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62526
CA
Other
Enumeration date
07/08/2014
Last updated
12/11/2014
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