Individual
KHOSROW MOVAHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
971 TOPSY LN, CARSON CITY, NV 89705-8421
(775) 884-4888
Mailing address
971 TOPSY LN, CARSON CITY, NV 89705-8421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4903
NV
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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