Organization
HAPPY SMILES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN MOGHADAM DDS, MA (DENTIST)
(917) 658-5863
Entity
Organization
Contact information
Practice address
420 E 64TH ST APT W3F, NEW YORK, NY 10065-7862
(917) 658-5863
Mailing address
420 E 64TH ST APT W3F, NEW YORK, NY 10065-7862
(917) 658-5863
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
010388
CT
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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