Individual
DR. MOHAMMAD MEHDI DOWLATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
2161 MARSELINA, TUSTIN, CA 92782-8706
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS105176
CA
Other
Enumeration date
01/11/2017
Last updated
10/30/2020
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