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Individual

MARYAM MOBARHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
3476 SHERIDAN DR, AMHERST, NY 14226-1545
(646) 247-3787
Mailing address
3476 SHERIDAN DR, AMHERST, NY 14226-1545
(646) 247-3787

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
058202
NY

Other

Enumeration date
10/19/2015
Last updated
10/19/2015
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