Organization
RAHA MOZAFFARI DMD LLC
Active
Other names
Fishtown Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHA MOZAFFARI DMD (DENTIST)
(215) 739-2543
Entity
Organization
Contact information
Practice address
244 E GIRARD AVE, PHILADELPHIA, PA 19125-3929
(215) 739-2543
Mailing address
435 E FLORA ST, PHILADELPHIA, PA 19125-3315
(215) 740-3912
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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