Individual
MICHAEL NEDJAT-HAIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
317 S CRESCENT DR, BEVERLY HILLS, CA 90212-4502
(310) 666-9024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106258
CA
122300000X
Dentist
13445
CT
122300000X
Dentist
DN1859419
MA
390200000X
Student in an Organized Health Care Education/Training Program
12879
CT
Other
Enumeration date
02/06/2020
Last updated
10/25/2023
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