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Individual

DR. JAHANGIR MOZAFFARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
535 W 110TH ST, SUITE 1G, NEW YORK, NY 10025-2086
(212) 749-9597
Mailing address
364 W 117TH ST, APT. 3D, NEW YORK, NY 10026-1559
(212) 749-9597

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049621
NY

Other

Enumeration date
11/26/2005
Last updated
03/10/2015
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