Individual
DR. MAHYAR MOFIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1480 DIXIE HWY, LOUISVILLE, KY 40210
(502) 778-7414
Mailing address
1832 BILTMORE ST NW, #23, WASHINGTON, DC 20009-1963
(202) 246-9191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6743
KY
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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