Individual
SAMANEH MOJARRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
1 BELMONT AVE STE 414, BALA CYNWYD, PA 19004-1607
(610) 617-0700
Mailing address
3737 CHESTNUT ST APT 708, PHILADELPHIA, PA 19104-7707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS041611
PA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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