Individual
DR. BEHNAZ MAHMOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
840 E 45TH ST, MARION, IN 46953-5312
(765) 674-0854
Mailing address
840 E 45TH ST, MARION, IN 46953-5312
(765) 674-0854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012354A
IN
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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