Individual
DR. AYNAZ KHODAYARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
260 E 188TH ST, BRONX, NY 10458-5302
(347) 640-1403
Mailing address
50 W 34TH ST APT 18C9, NEW YORK, NY 10001-3090
(347) 640-1403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063961
NY
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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