Individual
MANDANA TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 901-8410
Mailing address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 901-8410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
92281
NY
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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