Individual
LIDIA MOVAHEDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5410
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5410
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058925
NY
Other
Enumeration date
06/26/2014
Last updated
08/04/2020
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