Individual
DR. MAHTA HOSSEINKHANI HAZAVEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSC
Contact information
Practice address
1800 SULLIVAN TRL STE 120, EASTON, PA 18040-8397
(484) 403-2221
Mailing address
1800 SULLIVAN TRL STE 120, EASTON, PA 18040-8397
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401417616
VA
1223P0221X
Pediatric Dentistry
Primary
DS044422
PA
Other
Enumeration date
08/17/2021
Last updated
02/18/2026
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