Individual
DR. MARYAM MEHDIZADEH CHOOBINEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 N COTNER BLVD, SUITE #300, LINCOLN, NE 68505-2343
(402) 464-8686
(402) 464-8686
Mailing address
600 N COTNER BLVD, SUITE #300, LINCOLN, NE 68505-2343
(402) 464-8686
(402) 464-8686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5948
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47079711600
—
NE
Enumeration date
10/25/2006
Last updated
07/08/2007
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