Individual
MOJDEH SALEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 515-5419
Mailing address
1558 201ST ST APT 2, BAYSIDE, NY 11360-1040
(817) 823-9776
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062703
NY
Other
Enumeration date
04/07/2020
Last updated
05/25/2023
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