Individual
DR. MARYAM MOGHADAM GOLSHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
522 W CHESTNUT ST STE 1C, HINSDALE, IL 60521-3172
(630) 655-3522
Mailing address
730 N OAK ST, HINSDALE, IL 60521-3604
(630) 696-1498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
100763
CA
1223G0001X
General Practice Dentistry
Primary
019028764
IL
Other
Enumeration date
08/14/2011
Last updated
12/06/2022
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