Individual
DR. FARID MOGHADASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5608 US HIGHWAY 98 NORTH, LAKELAND, FL 33809
(863) 858-7600
(863) 859-0408
Mailing address
5608 US HIGHWAY 98 NORTH, LAKELAND, FL 33809
(863) 858-7600
(863) 859-0408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13330
FL
Other
Enumeration date
08/16/2006
Last updated
02/19/2015
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