Individual
BENYAMIN TAGHVAEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
44407 CHALLENGER WAY, LANCASTER, CA 93535-3237
(703) 424-5816
Mailing address
401 COMMERCE DR, FORT WASHINGTON, PA 19034-2714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109575
CA
122300000X
Dentist
DS043818
PA
Other
Enumeration date
08/01/2022
Last updated
11/29/2023
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