Individual
BAHAREH MORADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4819 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-3901
(248) 863-9109
Mailing address
174 LANGE DR, TROY, MI 48098-4667
(760) 297-8029
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901601114
MI
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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