Organization
R MOVAHED DMD PC
Active
Organization
R MOVAHED DMD PC
Active
Other names
Movahed OMS
Organization subpart
No
Provider details
NPI number
Authorized official
REZA MOVAHED DMD (OWNER)
(314) 878-6725
Entity
Organization
Contact information
Practice address
1585 WOODLAKE DR STE 208, CHESTERFIELD, MO 63017-5740
(314) 878-6725
Mailing address
1585 WOODLAKE DR STE 208, CHESTERFIELD, MO 63017-5740
(314) 878-6725
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/09/2021
Last updated
06/02/2023
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