Individual
MITRA HEIDARI MOHAMMAD ABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
000105
NY
1223P0221X
Pediatric Dentistry
061530
NY
1223P0221X
Pediatric Dentistry
Primary
109911
CA
Other
Enumeration date
05/31/2017
Last updated
06/02/2024
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