Individual
DR. GHAZAL KHASHAYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D, PH.D, M.SC
Contact information
Practice address
124 BROAD ST, STAMFORD, CT 06901-2702
(203) 628-2077
Mailing address
124 BROAD ST, STAMFORD, CT 06901-2702
(203) 628-2077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011670
CT
Other
Enumeration date
02/05/2013
Last updated
08/17/2016
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