Organization
GHORBANI - MOHAMMADI DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMED GHORBANI-MOGHADDAM D.D.S. (PRESIDENT)
(408) 313-3228
Entity
Organization
Contact information
Practice address
2676 E MAIN ST, COLUMBIA DENTAL, BRIDGEPORT, CT 06610-1422
(408) 313-3228
Mailing address
2676 E MAIN ST, COLUMBIA DENTAL, BRIDGEPORT, CT 06610-1422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11154
CT
122300000X
Dentist
8514
CT
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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