Individual
MEHRZAD FOULADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 E 61ST ST, #6D, NEW YORK, NY 10065-8183
(212) 583-7605
Mailing address
6155 98TH ST, APT#6C, REGO PARK, NY 11374-1434
(718) 592-5728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047370-1
NY
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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