Individual
MOHSEN MASOOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2900
Mailing address
3900 CITY AVE APT J725, PHILADELPHIA, PA 19131-3077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045434
PA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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