Organization
MOHAMMAD A. KZAEMAIN, DDS., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN SUE KAZEMIAN (RDH)
(704) 289-5233
Entity
Organization
Contact information
Practice address
1414 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 289-5233
(704) 289-2009
Mailing address
1414 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 289-5233
(704) 289-2009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994776
—
NC
01
—
94776
BCBS
NC
Enumeration date
10/25/2007
Last updated
10/25/2007
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