| NPI | 1023272325 |
|---|---|
| Former Name | MEHRDAD HAGHIGHI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: DC DEN1001560) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 053887) |
| 122300000X Dentist (Licence: MD 16095) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2017-04-19 |