| NPI | 1164440608 |
|---|---|
| Other Name | MOHAMMAD - IZADI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 11080) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401008006) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-11-05 |