Individual
DR. PARASTOU MODJARRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453
(718) 901-8400
Mailing address
12797 THACKER HILL CT, HERNDON, VA 20171-2986
(703) 855-0722
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059338-1
NY
Other
Enumeration date
05/19/2016
Last updated
03/04/2021
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