Individual
MS. MAHNAZ BAGHAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
240 W 116TH ST, NEW YORK, NY 10026-2431
(251) 767-6786
Mailing address
700 1ST ST, 2J, HOBOKEN, NJ 07030-8802
(251) 767-6786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056900
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/29/2012
Last updated
04/27/2016
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