Individual
DR. HOOMAN MOMTAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-2000
Mailing address
315 TRUMBULL ST APT 1911, HARTFORD, CT 06103-1148
(647) 229-0340
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
82627
CT
Other
Enumeration date
06/23/2025
Last updated
07/30/2025
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