Individual
DR. MOHAMMAD ALAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23-42 38TH STREET, ASTORIA, NY 11105
(310) 713-9588
Mailing address
23-42 38TH STREET, ASTORIA, NY 11105
(310) 713-9588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
055123
NY
1223P0700X
Prosthodontics
Primary
055123
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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