Individual
NAVID ENTEZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
367 ROUTE 120 UNIT C, LEBANON, NH 03766-1430
(603) 782-0329
Mailing address
30 WOLF RD UNIT 601, LEBANON, NH 03766-1917
(703) 407-7080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04524
NH
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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