NPI | 1063677870 |
---|---|
Other Name | ALEXANDER S MORADZADEH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57506) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-07-21 |
Last Update Date | 2013-10-09 |