Individual
DR. MOHAMMAD KAZEM SADEGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3370 BAYCHESTER AVE, BRONX, NY 10475-1565
(718) 671-2823
(718) 671-2824
Mailing address
3370 BAYCHESTER AVE, BRONX, NY 10475-1565
(718) 671-2823
(718) 671-2824
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045325-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02071396
—
NY
Enumeration date
01/23/2007
Last updated
07/08/2007
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