Individual
DR. HAMED GHORBANI-MOGHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2690 E MAIN ST, COLUMBIA DENTAL, BRIDGEPORT, CT 06610-1422
(203) 612-6079
(203) 612-6081
Mailing address
2690 E MAIN ST, BRIDGEPORT, CT 06610-1422
(203) 612-6079
(203) 612-6081
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11154
CT
1223G0001X
General Practice Dentistry
11154
CT
Other
Enumeration date
04/26/2012
Last updated
05/03/2023
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