Individual
DR. BIJAN MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1016 BROWN ST, PEEKSKILL, NY 10566-3606
(914) 737-0703
Mailing address
410 POLLY PK RD, RYE, NY 10580-1944
(914) 967-1808
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
039728
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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