Individual
PEGAH KHOSRAVI-KAMRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 688-4348
Mailing address
1062 1/2 NEIL AVE, COLUMBUS, OH 43201-3437
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
RES.004336
OH
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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