Individual
BEHJAT MOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
015772
MO
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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