Individual
DR. NEGAR DOLATABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4167
Mailing address
301 W 89TH ST APT 14, NEW YORK, NY 10024-2156
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059496-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2014
Last updated
03/21/2019
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