Individual
AFSHIN SAADATISOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1478 POST RD, FAIRFIELD, CT 06824-5938
(203) 255-6851
Mailing address
760 BROADWAY RM 2C319, BROOKLYN, NY 11206-5317
(718) 963-8310
(718) 630-3244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14024
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2020
Last updated
08/14/2024
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