Individual
EHSAN MOSTAGHNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 E CAMPUS LOOP S DEPT OF, LINCOLN, NE 68583-1530
(949) 232-5112
Mailing address
6100 VINE ST APT Y183, LINCOLN, NE 68505-2875
(949) 232-5112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7562
NE
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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