Individual
FARZANEH KESHMIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PA
Contact information
Practice address
5641 POPLAR TENT RD, SUITE 203, CONCORD, NC 28027-7533
(704) 793-4211
(704) 793-4210
Mailing address
5641 POPLAR TENT RD, SUITE 203, CONCORD, NC 28027-7533
(704) 793-4211
(704) 793-4210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903310
—
NC
Enumeration date
07/09/2006
Last updated
07/08/2007
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